Center Care Clinic PLLC.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

CENTER CARE CLINIC PLLC.

Practice address

1738 S Jackson St
Jacksonville, TX 75766-5831

Phone

(903) 787-2219

NPI assigned

Apr 29, 2025

Organization subpart

No

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

Authorized official

Name

Chaquarra Lastaysha Mitchell, FNP-BCNPI 1932923265

Title

Chief Executive Officer

Phone

(903) 787-2219

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chaquarra Lastaysha Mitchell

  • Family Nurse Practitioner
  • Jacksonville, TX
  • NPI 1932923265
  NPD Authorized official

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1972391886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 S JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757665831",
            "telephone_number": "903-787-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 S JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757665831",
            "telephone_number": "903-787-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CARE CLINIC PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHAQUARRA",
        "authorized_official_middle_name": "LASTAYSHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "903-787-2219",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Joy Canon
• Jack David Capps, CRNA
• Brad Glenn Carroll, D.C.
• Billy Dan Carson, MD
• Glenda Joyce Casteel
• Anup Chabra
• Charles Burk
• Nirmala Nandini Cheatham, M.D.
• Wyatt Checketts
• Cherokee County

• All providers in Jacksonville, TX
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.