HEALTHWISE WELLNESS LLC
NPI 1184296162
Obstetrics & Gynecology in Pine Bluff, AR

Active since July 11, 2021CLIA 04D2267158 · Microscopy
4014 OLD WARREN RD, PINE BLUFF, AR 71603(870) 454-4354(870) 390-4781 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2021, Jul 11, 2021 (2 updates tracked since 2021).

About Healthwise Wellness Llc NPPES

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

HEALTHWISE WELLNESS LLC (NPI 1184296162) is a healthcare organization registered as an obstetrics & gynecology in Pine Bluff, Arkansas and active in the NPI registry since July 2021. The organization holds a CLIA Microscopy certificate valid through August 21, 2026 and lists Tochi Amagwula, Owner, as its authorized official.

NPPES Registry Identity

NPI1184296162
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameHEALTHWISE WELLNESS LLC
Location Address4014 OLD WARREN RDPine Bluff, AR 71603-6110
Mailing Address4014 Old Warren RdPine Bluff, AR 71603-6110 · (870) 454-4354 · Fax (870) 390-4781
Fax(870) 390-4781
Organization SubpartNo
Authorized OfficialTochi AmagwulaOwner · (870) 454-4354
Enumeration DateJuly 11, 2021
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1184296162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4014 OLD WARREN RD, Pine Bluff, AR 71603

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

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 for Provider-Performed Microscopy Procedures (PPMP) 04D2267158

Healthwise Wellness Direct PLLC · Pine Bluff, AR
Active · expires Aug 21, 2026
CLIA Number04D2267158
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorTochi Amagwula
Laboratory Phone(870) 454-4354
Laboratory LocationHealthwise Wellness Direct PLLC4014 Old Warren Rd, Pine Bluff, AR 71603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Nurse Practitioner (Family)
4014 OLD WARREN RD
PINE BLUFF, AR 71603
Obstetrics & Gynecology
4014 OLD WARREN RD
PINE BLUFF, AR 71603
Obstetrics & Gynecology
4014 OLD WARREN RD
PINE BLUFF, AR 71603

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 Healthwise Wellness LLC's NPI number?

The NPI number for Healthwise Wellness LLC is 1184296162. It was assigned to this organization in the NPPES registry on July 11, 2021.

Where is Healthwise Wellness LLC located?

Healthwise Wellness LLC is located at 4014 Old Warren Rd, Pine Bluff, AR 71603. The listed phone number is (870) 454-4354.

What is Healthwise Wellness LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Healthwise Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2267158) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healthwise Wellness LLC was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.