| Golden Triangle Urgent Care Llc | |
|
500 Russell St Ste 3 Starkville MS 39759-5411 | |
| (662) 324-2244 | |
| (662) 324-2295 |
| Full Name | Golden Triangle Urgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Russell St Ste 3, Starkville, Mississippi |
| Authorized Official Name and Position | Rudy Blank (CFO) |
| Authorized Official Contact | 6159882005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Triangle Urgent Care Llc 30 Burton Hills Blvd Suite 175 Nashville TN 37215-6403 Ph: (615) 988-2009 | Golden Triangle Urgent Care Llc 500 Russell St Ste 3 Starkville MS 39759-5411 Ph: (662) 324-2244 |
| NPI Number | 1346592045 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 7315197498 |
|---|---|
| Medicare Enrollment ID | O20121025000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346592045 | NPI | - | NPPES |
| 04351854 | Medicaid | MS |
| Provider Name | Michael Shane Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275535551 PECOS PAC ID: 4385618198 Enrollment ID: I20040825001334 |
| Provider Name | Marcus A Crittenden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164465738 PECOS PAC ID: 1759350689 Enrollment ID: I20040928000803 |
| Provider Name | Kay K Coggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902904584 PECOS PAC ID: 1759346315 Enrollment ID: I20041124000351 |
| Provider Name | Charles D Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346349131 PECOS PAC ID: 8224035357 Enrollment ID: I20071213000322 |
| Provider Name | Chastity A Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447400064 PECOS PAC ID: 3577757947 Enrollment ID: I20101029000458 |
| Provider Name | Mary Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093774267 PECOS PAC ID: 5698969806 Enrollment ID: I20101102000353 |
| Provider Name | Edwin L Linder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679652408 PECOS PAC ID: 9830236793 Enrollment ID: I20101215001138 |
| Provider Name | Laleta S Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558662965 PECOS PAC ID: 8729261805 Enrollment ID: I20110328000291 |
| Provider Name | Vanita M Phinisey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518254580 PECOS PAC ID: 2567631773 Enrollment ID: I20110804000231 |
| Provider Name | Emerson A Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336251560 PECOS PAC ID: 2769480508 Enrollment ID: I20120208000525 |
| Provider Name | Brenda K Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285988154 PECOS PAC ID: 6406086297 Enrollment ID: I20140221001353 |
| Provider Name | Jeanie Marie Van Akkeren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609211374 PECOS PAC ID: 7810110871 Enrollment ID: I20140520000306 |
| Provider Name | Tanya S Cockrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063838480 PECOS PAC ID: 6709004773 Enrollment ID: I20140904001953 |
| Provider Name | Mitchell R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316346992 PECOS PAC ID: 2365764214 Enrollment ID: I20141203001138 |
| Provider Name | Lisa Carol Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073519260 PECOS PAC ID: 8022097534 Enrollment ID: I20150701002151 |
| Provider Name | Chastity Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003205857 PECOS PAC ID: 6204153216 Enrollment ID: I20150804003508 |
| Provider Name | Rushaunda L Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548643380 PECOS PAC ID: 6709191745 Enrollment ID: I20150819008459 |
| Provider Name | Aaron A Amos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003059874 PECOS PAC ID: 7214085729 Enrollment ID: I20150825004101 |
| Provider Name | Meredith Patton Hartline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114111978 PECOS PAC ID: 3375600273 Enrollment ID: I20151005001334 |
| Provider Name | Christopher Lee Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871985564 PECOS PAC ID: 5698096360 Enrollment ID: I20160405000061 |
| Provider Name | Lindsay Stegall Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609236900 PECOS PAC ID: 4385932235 Enrollment ID: I20161130000906 |
| Provider Name | Vanessa Jill Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154844033 PECOS PAC ID: 7416213749 Enrollment ID: I20171102000885 |
| Provider Name | Alexandra Claire Banker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902323611 PECOS PAC ID: 7214282433 Enrollment ID: I20180612001462 |
| Provider Name | Leslie B Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114445764 PECOS PAC ID: 4183989189 Enrollment ID: I20180907001115 |
| Provider Name | Amanda Blount Ermis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760670392 PECOS PAC ID: 4587688031 Enrollment ID: I20190326002869 |
| Provider Name | William Paul Coe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972117232 PECOS PAC ID: 2365862299 Enrollment ID: I20201015000637 |
| Provider Name | Tiffine Lynn Prisock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967226 PECOS PAC ID: 5799195897 Enrollment ID: I20201030001465 |
| Provider Name | Madison A Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811579964 PECOS PAC ID: 4981003951 Enrollment ID: I20210524001897 |
| Provider Name | Kayla Ann Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144837451 PECOS PAC ID: 7113327842 Enrollment ID: I20210616002929 |
| Provider Name | Farelon Elise Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730774290 PECOS PAC ID: 3173991767 Enrollment ID: I20221202000762 |
| Provider Name | Tamara Shantrice Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508451055 PECOS PAC ID: 7416312574 Enrollment ID: I20230425003026 |
Oktibbeha County Hospital Ekg Interpretation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Hospital Rd, Starkville, MS 39759 Phone: 662-615-2503 Fax: 662-615-2554 | |
The Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Hospital Rd, Starkville, MS 39759 Phone: 662-323-3162 Fax: 662-323-1711 | |
Mrh Medical Group, Starkville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 807 Highway 12 W, Starkville, MS 39759 Phone: 662-369-2455 | |
First Priority Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1572 Walter Bell Rd, Starkville, MS 39759 Phone: 662-312-2737 | |
Starkville Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Brandon Rd, Suite 5, Starkville, MS 39759 Phone: 662-323-1212 | |
Golden Triangle Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-334-2295 |