OrganizationActive
Prime Urgent Medical Clinic
NPI 1891171351 · Clinic Pharmacy · Southaven, MS
Prime Urgent Medical Clinic is a Clinic Pharmacy organization in Southaven, MS (NPI 1891171351).
Provider details
- NPI number
- 1891171351
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Clark Levi, Member(228) 447-3823
- License
- 14440 (MS)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
176 Goodman Rd W
Southaven, MS 38671-9405
Phone: (662) 510-6981
Fax: (662) 510-6987
Street-level locationGet directions
Mailing address
1019 Government St
Ocean Springs, MS 39564-3860
Other names (DBA / former)
- Doing business as
- Prime Urgent Medical Clinic
Registry dates
- Enumerated
- 2015-08-07
- Last updated
- 2016-05-10
Frequently asked questions
- What is Prime Urgent Medical Clinic's NPI number?
- Prime Urgent Medical Clinic's National Provider Identifier (NPI) is 1891171351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Urgent Medical Clinic?
- Prime Urgent Medical Clinic is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is Prime Urgent Medical Clinic located?
- Prime Urgent Medical Clinic's practice location on file with NPPES is 176 Goodman Rd W, Southaven, MS 38671-9405.
- What is Prime Urgent Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Prime Urgent Medical Clinic is (662) 510-6981.
- Who is the authorized official for Prime Urgent Medical Clinic?
- The authorized official listed on Prime Urgent Medical Clinic's NPPES record is Clark Levi, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Urgent Medical Clinic's NPI active?
- Yes — Prime Urgent Medical Clinic's NPI (1891171351) is active in the NPPES registry as of the last update on 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.