MID-SOUTH CONVENIENT CARE PLLC NPI 1477984508

NPI Information

  • NPI: 1477984508
  • Provider Name: MID-SOUTH CONVENIENT CARE, PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 44D2069837
  • Address: 521 HWY 51 NORTH
    RIPLEY, TN
    ZIP 38063
  • Phone: (731) 286-6611

Map and Directions

Get Directions

NPI Details

MID-SOUTH CONVENIENT CARE, PLLC is a rural health clinic center in Ripley, TN. MID-SOUTH CONVENIENT CARE, PLLC NPI is 1477984508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

521 HWY 51 NORTH
RIPLEY, TN
ZIP 38063
Phone: (731) 286-6611

The provider's authorized official is Pankaj Srivastava .
The authorized official title is Owner and has the following contact phone number (731) 445-4987.

The CLIA number assigned to this NPI record is 44D2069837 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2013 and was last updated on 8/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD0000034709TENNESSEENo
2261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI