OrganizationActive
Fcc Medical Clinics LLC
NPI 1215510490 · Internal Medicine Physician · Poplar Bluff, MO
Provider details
- NPI number
- 1215510490
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Family Counseling Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Tracy Ellis, Cco(573) 888-5925
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200
Fax: (573) 778-9492
Street-level locationGet directions
Mailing address
Po Box 71
Kennett, MO 63857-0071
Other names (DBA / former)
- Doing business as
- Fcc Primary Care Clinic Poplar Bluff
- Doing business as
- Fcc Primary Care Clinic Poplar Bluff
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.