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PRIME HEALTH & WELLNESS
NPI 1194387217
Clinic/Center in Fayette, MS

Active since June 28, 2019CLIA 25D2172152 · Waiver
225 COMMUNITY DR, FAYETTE, MS 39069(601) 786-8655(601) 786-8656 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prime Health & Wellness NPPES

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

PRIME HEALTH & WELLNESS (NPI 1194387217) is a healthcare organization registered as a clinic/center in Fayette, Mississippi and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Cinda Perryman, Fnp, as its authorized official.

NPPES Registry Identity

NPI1194387217
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRIME HEALTH & WELLNESS
Location Address225 COMMUNITY DRFayette, MS 39069-7701
Mailing AddressPo Box 36Fayette, MS 39069-0036 · (601) 786-8655 · Fax (601) 786-8656
Phone(601) 786-8655
Fax(601) 786-8656
Organization SubpartNo
Authorized OfficialCinda PerrymanFnp · (601) 786-8655
Enumeration DateJune 28, 2019
Last NPPES UpdateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
✔ NPI 1194387217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
225 COMMUNITY DR, Fayette, MS 39069
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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 Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Health & Wellness 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 Prime Health & Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cinda Perryman, FNP
Nurse Practitioner
NPI 1841699758
225 COMMUNITY DR
Fayette, MS 39069
(601) 786-8655
✔ PECOS✔ Accepts MedicareSame address

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

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 25D2172152

Prime Health And Wellness · Fayette, MS
Active · expires Sep 16, 2027
CLIA Number25D2172152
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorCinda J. Perryman
Laboratory Phone(601) 786-8655
Laboratory LocationPrime Health And Wellness225 Community Dr Ste 101, Fayette, MS 39069
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prime Health & Wellness's NPI number?

The NPI number for Prime Health & Wellness is 1194387217. It was assigned to this organization in the NPPES registry on June 28, 2019.

Where is Prime Health & Wellness located?

Prime Health & Wellness is located at 225 Community Dr, Fayette, MS 39069. The listed phone number is (601) 786-8655.

What is Prime Health & Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Prime Health & Wellness enrolled in Medicare?

Yes. Prime Health & Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Health & Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prime Health & Wellness. 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.

Does Prime Health & Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2172152) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Health & Wellness accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Prime Health & Wellness 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 Prime Health & Wellness was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.