CONVENIENT CARE MEDICAL CLINIC LLC
NPI 1396127221
Clinic/Center - Primary Care in Columbus, MS
About Convenient Care Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONVENIENT CARE MEDICAL CLINIC LLC (NPI 1396127221) is a healthcare organization registered as a primary care in Columbus, Mississippi and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Teresa Marie Sims, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Convenient Care Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Convenient Care Medical Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2098337
Convenient Care Medical Clinic, LLC · Columbus, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Convenient Care Medical Clinic LLC's NPI number?
The NPI number for Convenient Care Medical Clinic LLC is 1396127221. It was assigned to this organization in the NPPES registry on June 27, 2015.
Where is Convenient Care Medical Clinic LLC located?
Convenient Care Medical Clinic LLC is located at 2207 5th St N, Columbus, MS 39705. The listed phone number is (662) 251-3565.
What is Convenient Care Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Convenient Care Medical Clinic LLC enrolled in Medicare?
Yes. Convenient Care Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Convenient Care Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Convenient Care Medical Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Convenient Care Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2098337) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Convenient Care Medical Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Convenient Care Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Convenient Care Medical Clinic LLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Convenient Care Medical Clinic Llc · NPI 1396127221
Primary Care organization in Columbus, Mississippi. Organization record, active in the CMS NPPES registry since June 27, 2015.
## Identity
- **NPI:** 1396127221 (Entity type: Organization)
- **Enumerated:** June 27, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Teresa Sims, OWNER/MANAGER
## Practice location
- **Address:** 2207 5TH ST N, Columbus, MS 39705-2211
- **Phone:** (662) 251-3565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2022
- **Other identifiers:** Medicaid 01903235 (MS)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1396127221) · Data from the CMS NPPES public registry.