MID-SOUTH CONVENIENT CARE, PLLC
NPI 1477984508
Clinic/Center - Rural Health in Ripley, TN

Active since November 27, 2013CLIA 44D2069837 · Waiver
521 HWY 51 NORTH, RIPLEY, TN 38063(731) 286-6611 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 2, 2017, Jul 5, 2017 (2 updates tracked since 2017).

About Mid-south Convenient Care, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-SOUTH CONVENIENT CARE, PLLC (NPI 1477984508) is a healthcare organization registered as a rural health in Ripley, Tennessee and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Pankaj Srivastava, Owner, as its authorized official.

NPPES Registry Identity

NPI1477984508
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMID-SOUTH CONVENIENT CARE, PLLC
Location Address521 HWY 51 NORTHRipley, TN 38063
Mailing Address1445 Us Highway 51 Byp E, Suite BDyersburg, TN 38024-2127 · (731) 286-1900 · Fax (731) 286-1939
Organization SubpartNo
Authorized OfficialPankaj SrivastavaOwner · (731) 445-4987
Enumeration DateNovember 27, 2013
Last NPPES UpdateAugust 2, 20172 updates tracked since enumeration
✔ NPI 1477984508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD0000034709 (TN)
521 HWY 51 NORTH, Ripley, TN 38063

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 44D2069837

Mid-South Convenient Care, PLLC · Ripley, TN
Active · expires Jul 24, 2027
CLIA Number44D2069837
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorDr. Nishitha M. Reddy
Laboratory Phone(731) 635-2000
Laboratory LocationMid-South Convenient Care, PLLC521 Hwy 51 North, Ste B, Ripley, TN 38063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mid-South Convenient Care, PLLC's NPI number?

The NPI number for Mid-South Convenient Care, PLLC is 1477984508. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Mid-South Convenient Care, PLLC located?

Mid-South Convenient Care, PLLC is located at 521 Hwy 51 North, Ripley, TN 38063. The listed phone number is (731) 286-6611.

What is Mid-South Convenient Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mid-South Convenient Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2069837) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid-South Convenient Care, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Mid-South Convenient Care, PLLC 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 Mid-South Convenient Care, PLLC was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.