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ANGEL WINGS COMMUNITY HEALTHCARE CENTER LLC
NPI 1053099077
Family Medicine in Magnolia, MS

Active since July 10, 2023CLIA 25D2290263 · Waiver
215 MAGNOLIA ST, MAGNOLIA, MS 39652(601) 869-0299(601) 680-3216 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angel Wings Community Healthcare Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL WINGS COMMUNITY HEALTHCARE CENTER LLC (NPI 1053099077) is a healthcare organization registered as a family medicine in Magnolia, Mississippi and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Latoya Cameron, Owner, as its authorized official.

NPPES Registry Identity

NPI1053099077
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANGEL WINGS COMMUNITY HEALTHCARE CENTER LLC
Location Address215 MAGNOLIA STMagnolia, MS 39652-2827
Mailing Address215 Magnolia StMagnolia, MS 39652-2827 · (601) 869-0299 · Fax (601) 680-3216
Phone(601) 869-0299
Fax(601) 680-3216
Organization SubpartNo
Authorized OfficialLatoya CameronOwner · (601) 869-0299
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1053099077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

215 MAGNOLIA ST, Magnolia, MS 39652
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2290263

Angel Wings Community Healthcare Center · Magnolia, MS
Active · expires Sep 21, 2027
CLIA Number25D2290263
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorLatoya R. Cameron
Laboratory Phone(601) 869-0162
Laboratory LocationAngel Wings Community Healthcare Center215 Magnolia Street, Magnolia, MS 39652
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL WINGS TRANSIT INC
Transportation Network Company
215 MAGNOLIA ST
MAGNOLIA, MS 39652
Pike County (601) 600-6559
MAGNOLIA FAMILY DENTAL, PLLC
Dentist (General Practice)
215 MAGNOLIA ST
MAGNOLIA, MS 39652
Pike County (601) 783-2361
DR. GEORGE H LEGGETT D.D.S.
Dentist (General Practice)
215 MAGNOLIA ST
MAGNOLIA, MS 39652
Pike County (601) 783-2361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Wings Community Healthcare Center LLC's NPI number?

The NPI number for Angel Wings Community Healthcare Center LLC is 1053099077. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Angel Wings Community Healthcare Center LLC located?

Angel Wings Community Healthcare Center LLC is located at 215 Magnolia St, Magnolia, MS 39652. The listed phone number is (601) 869-0299.

What is Angel Wings Community Healthcare Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Angel Wings Community Healthcare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2290263) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Angel Wings Community Healthcare Center LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Angel Wings Community Healthcare Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angel Wings Community Healthcare Center LLC was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.