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CONVENIENT CARE CLINIC, LLC
NPI 1851490841
Nurse Practitioner - Family in Horn Lake, MS

Active since September 22, 2006CLIA 25D2065252 · Waiver
3040 GOODMAN RD WEST, HORN LAKE, MS 38637(662) 578-2030(615) 301-6550 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Mar 13, 2025, Oct 24, 2022 and 1 more (4 updates tracked since 2015).

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

NPI1851490841
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCONVENIENT CARE CLINIC, LLC
Location Address3040 GOODMAN RD WESTHorn Lake, MS 38637-2474
Mailing Address30 Burton Hills Blvd, Suite 175Nashville, TN 37215-6403 · (615) 864-8713
Phone(662) 578-2030
Fax(615) 301-6550
Organization SubpartNo
Authorized OfficialStephanie HicksController · (615) 988-2004
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1851490841 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 ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
3040 GOODMAN RD WEST, Horn Lake, MS 38637
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Other Identifiers 1

Medicaid09015109MS

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 25D2065252

Convenient Care Clinic, LLC Dba Baptist Urgent Care · Horn Lake, MS
Active · expires Apr 28, 2027
CLIA Number25D2065252
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorEdwin L. Linder
Laboratory Phone(662) 280-3428
Laboratory LocationConvenient Care Clinic, LLC Dba Baptist Urgent Care3040 Goodman Road West, Horn Lake, MS 38637
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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 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 12 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.