NPIMap

Organization Active NPI

Medplus Urgent Clinic LLC

  • Family Medicine Physician
  • Tupelo, MS
National Provider Identifier
1881077501
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDPLUS URGENT CLINIC LLC
Practice address
874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone
(662) 841-0002
NPI assigned
Jun 30, 2015
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samantha Logan
Title
Authorized Official
Phone
(662) 841-0002

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Durable Medical Equipment & Medical Supplies 332B00000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

874 Barnes Crossing Rd
Tupelo, MS 38804-0909

Mailing address

874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone (662) 841-0002

Other practice location 1

407 Interchange Drive
Fulton, MS 38843-6029
Phone (662) 841-0002

Other practice location 2

180 Park Plaza Drive
New Albany, MS 38652-3127
Phone (662) 222-2273

Other practice location 3

1207 Hwy 182 W
Starkville, MS 39759-9013
Phone (662) 841-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150825003616 MS Part B Supplier - Clinic/Group Practice 0648586487 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Fulton, MS; Tupelo, MS; Starkville, MS; New Albany, MS
O20250422001817 MS DME Supplier - Nurse PractitionerDME Supplier - Physician Assistant 0648586487 Practice locations: Tupelo, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2099996Medplus Urgent Clinic, LLC874 Barnes Crossing Road, Tupelo, MS 38804ComplianceFeb 2, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medplus Urgent Clinic LLC874 Barnes Crossing Rd, Tupelo, MS 38804-0909(662) 841-0002 Canes and/or Crutches|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Aug 1, 2015

National Provider Directory

National Provider Directory

Locations

312 Washington St
Booneville, MS 38829
Phone 66234011382020

180 Park Plaza Dr
New Albany, MS 38652
Phone (662) 222-2273

874 Barnes Crossing Rd
Tupelo, MS 38804
Phone (662) 841-0002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJABD

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1881077501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-841-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Interchange Drive",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MS",
            "postal_code": "388436029",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Park Plaza Drive",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523127",
            "country_code": "US",
            "telephone_number": "662-222-2273",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 HWY 182 W",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397599013",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDPLUS URGENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-841-0002"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.