ULTIMATE CARE MEDICAL CLINIC
NPI 1801528591
Nurse Practitioner - Family in Starkville, MS

Q: 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.

Active since June 30, 2022CLIA 25D2284938 · Waiver

900 STARK RD, STARKVILLE, MS 39759(662) 694-2420 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1801528591

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameULTIMATE CARE MEDICAL CLINIC PROFESSIONAL CORPORATION

Location Address900 STARK RDStarkville, MS 39759-3613

Mailing Address900 Stark RdStarkville, MS 39759-3613 · (662) 694-2420

Phone(662) 694-2420

Organization SubpartNo

Authorized OfficialRushaunda NashOwner · (662) 694-2420

Enumeration DateJune 30, 2022

Last NPPES UpdateMarch 8, 2023

NPPES CertifiedMarch 8, 2023

✔ NPI 1801528591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X

900 STARK RD, Starkville, MS 39759

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Other Names 1

Other NameUltimate Care Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D2284938

Ultimate Care Medical Clinic · Starkville, MS

Active · expires Jun 29, 2027

CLIA Number25D2284938

Laboratory TypePhysician Office

Certificate Effective DateJune 30, 2025

Certificate Expiration DateJune 29, 2027

Laboratory DirectorRushaunda Nash

Laboratory Phone(662) 694-2420

Laboratory LocationUltimate Care Medical Clinic1085 Stark Rd Ste F, Starkville, MS 39759

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MRS. IYABO O ADEBIYI RN

Registered Nurse (Diabetes Educator)