CONVENIENT CARE MEDICAL CLINIC LLC
NPI 1396127221
Clinic/Center - Primary Care in Columbus, MS

Active since June 27, 2015CLIA 25D2098337 · Waiver
2207 5TH ST N, COLUMBUS, MS 39705(662) 251-3565 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1396127221
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCONVENIENT CARE MEDICAL CLINIC LLC
Location Address2207 5TH ST NColumbus, MS 39705-2211
Mailing AddressPo Box 9051Columbus, MS 39705-0015 · (662) 251-3565
Organization SubpartNo
Authorized OfficialTeresa Marie SimsOwner/manager · (662) 241-7177
Enumeration DateJune 27, 2015
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
NPI 1396127221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2207 5TH ST N, Columbus, MS 39705

Other Identifiers 1

Medicaid01903235MS

Accepted Insurance

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, MS
Active · expires Jul 5, 2027
CLIA Number25D2098337
Laboratory TypePractitioner Other
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorTeresa M. Sims
Laboratory Phone(662) 241-7177
Laboratory LocationConvenient Care Medical Clinic, LLC2207 5th St N, Columbus, MS 39705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2207 5TH ST N
COLUMBUS, MS 39705
Nurse Practitioner (Family)
2207 5TH ST N
COLUMBUS, MS 39705

Frequently 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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 3 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.