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

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

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

Active since July 10, 2023

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: November 01, 2026.

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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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Wings Community Healthcare Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Angel Wings Community Healthcare Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Latoya Cameron, CFNP

Nurse Practitioner

NPI 1619530425

1080 GREAT POINT RD
Mccomb, MS 39648

(601) 341-3916

✔ PECOS7.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Angel Wings Community Healthcare Center LLC enrolled in Medicare?

Yes. Angel Wings Community Healthcare Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angel Wings Community Healthcare Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Angel Wings Community Healthcare Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.