CONVENIENT CARE CLINIC, LLC
NPI 1851490841
Nurse Practitioner - Family in Horn Lake, MS
About Convenient Care Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONVENIENT CARE CLINIC, LLC (NPI 1851490841) is a healthcare organization registered as a family in Horn Lake, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Stephanie Hicks, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Convenient Care Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 43Source: 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 25D2065252
Convenient Care Clinic, LLC Dba Baptist Urgent Care · Horn Lake, 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 Clinic, LLC's NPI number?
The NPI number for Convenient Care Clinic, LLC is 1851490841. It was assigned to this organization in the NPPES registry on September 22, 2006.
Where is Convenient Care Clinic, LLC located?
Convenient Care Clinic, LLC is located at 3040 Goodman Rd West, Horn Lake, MS 38637. The listed phone number is (662) 578-2030.
What is Convenient Care Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Convenient Care Clinic, LLC enrolled in Medicare?
Yes. Convenient Care Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Convenient Care Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 2 Medicare specialties reassign their Medicare billing to Convenient Care 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. The largest specialties are Nurse Practitioner (39) and Family Practice (4). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Convenient Care Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2065252) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Convenient Care 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 3 other insurers list Convenient Care 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 Clinic, LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 Clinic, Llc · NPI 1851490841
Family organization in Horn Lake, Mississippi. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1851490841 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Stephanie Hicks, CONTROLLER
## Practice location
- **Address:** 3040 GOODMAN RD WEST, Horn Lake, MS 38637-2474
- **Phone:** (662) 578-2030 · **Fax:** (615) 301-6550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Family Practice (4); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1851490841/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2025
- **Other identifiers:** Medicaid 09015109 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851490841) · Data from the CMS NPPES public registry.