ENHANCED WELLNESS OF OAK GROVE, PLLC
NPI 1154564920
Nurse Practitioner - Family in Hattiesburg, MS

Q: What is Enhanced Wellness Of Oak Grove, PLLC's NPI number?

The NPI number for Enhanced Wellness Of Oak Grove, PLLC is 1154564920. It was assigned to this organization in the NPPES registry on April 9, 2009.

Q: What is Enhanced Wellness Of Oak Grove, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 09, 2009CLIA 25D1096216 · Waiver

56 98 PLACE BLVD, HATTIESBURG, MS 39402(601) 264-7286(601) 450-4640 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Enhanced Wellness Of Oak Grove, Pllc NPPES

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

ENHANCED WELLNESS OF OAK GROVE, PLLC (NPI 1154564920) is a healthcare organization registered as a family in Hattiesburg, Mississippi and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Betty Laura Ryba, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1154564920

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameENHANCED WELLNESS OF OAK GROVE, PLLC

Location Address56 98 PLACE BLVDHattiesburg, MS 39402-8603

Mailing Address56 98 Place BlvdHattiesburg, MS 39402-8603 · (601) 264-7286 · Fax (601) 450-4640

Phone(601) 264-7286

Fax(601) 450-4640

Organization SubpartNo

Authorized OfficialBetty Laura RybaProvider/owner · (601) 264-7286

Enumeration DateApril 9, 2009

Last NPPES UpdateNovember 15, 2021

NPPES CertifiedNovember 15, 2021

✔ NPI 1154564920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

56 98 PLACE BLVD, Hattiesburg, MS 39402

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 25D1096216

Enhanced Wellness Of Oak Grove PLLC · Hattiesburg, MS

Active · expires Feb 26, 2027

CLIA Number25D1096216

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 27, 2025

Certificate Expiration DateFebruary 26, 2027

Laboratory DirectorBetty L. Ryba

Laboratory Phone(601) 264-7286

Laboratory LocationEnhanced Wellness Of Oak Grove PLLC56 98th Place Blvd, Hattiesburg, MS 39402

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. BETTY LAURA RYBA MSN FNP-BC

Nurse Practitioner (Family)

56 98 PLACE BLVD
HATTIESBURG, MS 39402

Lamar County (228) 596-9732

CORI MARZONI

Student in an Organized Health Care Education/Training Program

56 98 PLACE BLVD
HATTIESBURG, MS 39402

Lamar County (601) 264-7286

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 Enhanced Wellness Of Oak Grove, PLLC's NPI number?

The NPI number for Enhanced Wellness Of Oak Grove, PLLC is 1154564920. It was assigned to this organization in the NPPES registry on April 9, 2009.

Where is Enhanced Wellness Of Oak Grove, PLLC located?

Enhanced Wellness Of Oak Grove, PLLC is located at 56 98 Place Blvd, Hattiesburg, MS 39402. The listed phone number is (601) 264-7286.

What is Enhanced Wellness Of Oak Grove, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Enhanced Wellness Of Oak Grove, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1096216) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Enhanced Wellness Of Oak Grove, PLLC 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 Enhanced Wellness Of Oak Grove, PLLC 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 Enhanced Wellness Of Oak Grove, PLLC was last updated on November 15, 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.