OrganizationActive
Professional Clinics, LLC
NPI 1477909372 · Family Medicine Physician · Perryville, MO
Provider details
- NPI number
- 1477909372
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amelia Ledbetter, Director of Operations(573) 335-4715
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1837
Phone: (573) 547-3232
Fax: (573) 547-3231
Street-level locationGet directions
Mailing address
624 Old Saint Marys Rd
Perryville, MO 63775-1837
Other names (DBA / former)
- Doing business as
- Convenient Healthcare
Registry dates
- Enumerated
- 2016-05-10
- Last updated
- 2016-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.