Convenient Care Clinic, Llc - Medicare Primary Care in Horn Lake, MS

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Convenient Care Clinic, Llc is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Horn Lake, Mississippi. The current practice location for Convenient Care Clinic, Llc is 3040 Goodman Rd West, Horn Lake, Mississippi. For appointments, you can reach them via phone at (662) 578-2030. The mailing address for Convenient Care Clinic, Llc is 30 Burton Hills Blvd, Suite 175, Nashville, Tennessee and phone number is (615) 864-8713.

Convenient Care Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851490841. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 578-2030.

Contact Information

Convenient Care Clinic, Llc
3040 Goodman Rd West
Horn Lake
MS 38637-2474
(662) 578-2030
(615) 301-6550

Map and Direction


Primary Care Clinic Profile

Full NameConvenient Care Clinic, Llc
SpecialityNurse Practitioner
Location3040 Goodman Rd West, Horn Lake, Mississippi
Authorized Official Name and PositionStephanie Hicks (CONTROLLER)
Authorized Official Contact6159882004
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Convenient Care Clinic, Llc
30 Burton Hills Blvd
Suite 175
Nashville
TN 37215-6403

Ph: (615) 864-8713		Convenient Care Clinic, Llc
3040 Goodman Rd West
Horn Lake
MS 38637-2474

Ph: (662) 578-2030

NPI Details:

NPI Number1851490841
Provider Enumeration Date09/22/2006
Last Update Date08/04/2025

Medicare PECOS Information:

Medicare PECOS PAC ID1052587284
Medicare Enrollment IDO20120110000278

Medical Identifiers

Medical identifiers for Convenient Care Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851490841NPI-NPPES
09015109MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Convenient Care Clinic, Llc acts as a billing entity for following providers:
Provider NameLinda L Troy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194745638
PECOS PAC ID: 5991763666
Enrollment ID: I20041228000522
Provider NameCynthia Ligon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285631275
PECOS PAC ID: 8921073693
Enrollment ID: I20080527000303
Provider NameRachel E Litterer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740500214
PECOS PAC ID: 4587797329
Enrollment ID: I20100730000844
Provider NameChastity A Barnette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447400064
PECOS PAC ID: 3577757947
Enrollment ID: I20101029000458
Provider NameEdwin L Linder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679652408
PECOS PAC ID: 9830236793
Enrollment ID: I20101215001138
Provider NameCary N Mettetal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235102674
PECOS PAC ID: 4880672500
Enrollment ID: I20110401000159
Provider NameVanita M Phinisey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518254580
PECOS PAC ID: 2567631773
Enrollment ID: I20110804000231
Provider NameEmerson A Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336251560
PECOS PAC ID: 2769480508
Enrollment ID: I20120208000525
Provider NameBrenda K Higgins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285988154
PECOS PAC ID: 6406086297
Enrollment ID: I20140221001353
Provider NameKori E Swearengen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093139214
PECOS PAC ID: 2769614379
Enrollment ID: I20140414001986
Provider NameLisa Tomlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073519260
PECOS PAC ID: 8022097534
Enrollment ID: I20150701002151
Provider NameChastity Heath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003205857
PECOS PAC ID: 6204153216
Enrollment ID: I20150804003508
Provider NameAaron Amos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003059874
PECOS PAC ID: 7214085729
Enrollment ID: I20150825004101
Provider NameMeredith Patton Hartline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114111978
PECOS PAC ID: 3375600273
Enrollment ID: I20151005001334
Provider NameChristopher Lee Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871985564
PECOS PAC ID: 5698096360
Enrollment ID: I20160405000061
Provider NameLindsay Stegall Nixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609236900
PECOS PAC ID: 4385932235
Enrollment ID: I20161130000906
Provider NameMolly Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265983316
PECOS PAC ID: 7719268317
Enrollment ID: I20161219001672
Provider NameAlexandra Claire Banker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902323611
PECOS PAC ID: 7214282433
Enrollment ID: I20180612001462
Provider NameEmily H Tice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972070548
PECOS PAC ID: 5799023511
Enrollment ID: I20190220001677
Provider NameTina Gail Bryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760969208
PECOS PAC ID: 0941549778
Enrollment ID: I20190222000371
Provider NameAmanda Blount Ermis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760670392
PECOS PAC ID: 4587688031
Enrollment ID: I20190326002869
Provider NamePaul F Nixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750922209
PECOS PAC ID: 8729417613
Enrollment ID: I20200327001021
Provider NameTiffine Lynn Prisock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457967226
PECOS PAC ID: 5799195897
Enrollment ID: I20201030001465
Provider NamePenny Marie Holley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013524495
PECOS PAC ID: 4082024492
Enrollment ID: I20201112002857
Provider NameAriel Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750904595
PECOS PAC ID: 5991106171
Enrollment ID: I20210624003372
Provider NameTonya M Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568138832
PECOS PAC ID: 0244638112
Enrollment ID: I20211006002598
Provider NameKayley Huffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548938764
PECOS PAC ID: 1355749003
Enrollment ID: I20211011000129
Provider NameAlexandria Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396254561
PECOS PAC ID: 0648546077
Enrollment ID: I20211105000911
Provider NameKishana R Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881181634
PECOS PAC ID: 4880932383
Enrollment ID: I20211209000687
Provider NameDonnielle Y Carney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104497932
PECOS PAC ID: 0547658288
Enrollment ID: I20220322001501
Provider NameAlleda J Glasner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669059069
PECOS PAC ID: 4486047461
Enrollment ID: I20240417000908

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.