ULTIMATE CARE MEDICAL CLINIC
NPI 1801528591
Nurse Practitioner - Family in Starkville, MS
About Ultimate Care Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ULTIMATE CARE MEDICAL CLINIC (NPI 1801528591) is a healthcare organization registered as a family in Starkville, Mississippi and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Rushaunda Nash, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 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)
Ultimate Care Medical Clinic 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 Ultimate Care Medical Clinic, 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 25D2284938
Ultimate Care Medical Clinic · Starkville, 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 Ultimate Care Medical Clinic Professional Corporation's NPI number?
The NPI number for Ultimate Care Medical Clinic Professional Corporation is 1801528591. It was assigned to this organization in the NPPES registry on June 30, 2022. The provider is also known as Ultimate Care Medical Clinic.
Where is Ultimate Care Medical Clinic Professional Corporation located?
Ultimate Care Medical Clinic Professional Corporation is located at 900 Stark Rd, Starkville, MS 39759. The listed phone number is (662) 694-2420.
What is Ultimate Care Medical Clinic Professional Corporation's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ultimate Care Medical Clinic Professional Corporation enrolled in Medicare?
Yes. Ultimate Care Medical Clinic Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ultimate Care Medical Clinic Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ultimate Care Medical Clinic Professional Corporation. 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 Ultimate Care Medical Clinic Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2284938) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ultimate Care Medical Clinic Professional Corporation 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 Ultimate Care Medical Clinic Professional Corporation 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 Ultimate Care Medical Clinic Professional Corporation was last updated on March 8, 2023. 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.
# Ultimate Care Medical Clinic · NPI 1801528591
Family organization in Starkville, Mississippi. Organization record, active in the CMS NPPES registry since June 30, 2022.
## Identity
- **NPI:** 1801528591 (Entity type: Organization)
- **Enumerated:** June 30, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Ultimate Care Medical Clinic Professional Corporation
- **Organization subpart:** No
- **Authorized official:** Rushaunda Nash, OWNER
## Practice location
- **Address:** 900 STARK RD, Starkville, MS 39759-3613
- **Phone:** (662) 694-2420
## 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:** March 8, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801528591) · Data from the CMS NPPES public registry.