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INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
NPI 1104580943
Family Medicine in Ridgeland, MS

Active since October 27, 2021
212 DRAPERTON CT, RIDGELAND, MS 39157(769) 300-9040(769) 300-9055 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Medical And Wellness Clinic Of Mississippi Llc NPPES

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

INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC (NPI 1104580943) is a healthcare organization registered as a family medicine in Ridgeland, Mississippi and active in the NPI registry since October 2021. The organization lists David F. Rowe, Owner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104580943
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
Location Address212 DRAPERTON CTRidgeland, MS 39157-3905
Mailing Address2556 Marcia CtBiloxi, MS 39531-2352 · (228) 248-0561 · Fax (228) 248-0562
Phone(769) 300-9040
Fax(769) 300-9055
Organization SubpartNo
Authorized OfficialDavid F. RoweOwner, Authorized Official · (228) 248-0561
Enumeration DateOctober 27, 2021
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1104580943 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.
212 DRAPERTON CT, Ridgeland, MS 39157
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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

Other Providers at the Same Location NPPES 2

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

DR. NATHAN PHILIP MCINTOSH M.D.
Emergency Medicine
212 DRAPERTON CT
RIDGELAND, MS 39157
Madison County (769) 300-9040
MRS. JENA NAOMI SMITH NP-C
Nurse Practitioner (Family)
212 DRAPERTON CT, PRICE DERMATOLOGY
RIDGELAND, MS 39157
Madison County (601) 992-3996

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 Integrated Medical And Wellness Clinic Of Mississippi LLC's NPI number?

The NPI number for Integrated Medical And Wellness Clinic Of Mississippi LLC is 1104580943. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Integrated Medical And Wellness Clinic Of Mississippi LLC located?

Integrated Medical And Wellness Clinic Of Mississippi LLC is located at 212 Draperton Ct, Ridgeland, MS 39157. The listed phone number is (769) 300-9040.

What is Integrated Medical And Wellness Clinic Of Mississippi LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Integrated Medical And Wellness Clinic Of Mississippi LLC was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.