Active NPI
Best Choice Medical Clinic, LLC
- Primary Care Clinic/Center
- Byhalia, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- BEST CHOICE MEDICAL CLINIC, LLC
- Practice address
- 6391 Hwy 72
Byhalia, MS 38611-3861 - Phone
- (901) 827-1853
- NPI assigned
- Mar 26, 2021
- Last updated
- Dec 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Renee' Bolden, FNP-C
- Title
- Provider/Owner
- Phone
- (901) 827-1853
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
6391 Hwy 72
Byhalia, MS 38611-3861
Mailing address
6391 Highway 72
Byhalia, MS 38611-9344
Phone (901) 827-1853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2243726 | Best Choice Medical Clinic LLC | Certificate of waiver | Nov 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
6391 Highway 72
Byhalia, MS 38611
Phone (901) 827-1853
Interoperability endpoints
- https://api.platform.athenahealth.com/24874/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Byhalia, MS
- NPI 1902465040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1891372785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6391 HIGHWAY 72",
"city": "BYHALIA",
"state": "MS",
"postal_code": "386119344",
"telephone_number": "901-827-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6391 HWY 72",
"city": "BYHALIA",
"state": "MS",
"postal_code": "386113861",
"telephone_number": "901-827-1853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEST CHOICE MEDICAL CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-26",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "BOLDEN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "RENEE'",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "901-827-1853",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Byhalia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.