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COMMUNITY WELLNESS GROUP LLC
NPI 1215622972
Nurse Practitioner - Family in Brookhaven, MS

Active since April 10, 2023
332 E MONTICELLO ST, BROOKHAVEN, MS 39601(601) 669-7357 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Wellness Group Llc NPPES

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

COMMUNITY WELLNESS GROUP LLC (NPI 1215622972) is a healthcare organization registered as a family in Brookhaven, Mississippi and active in the NPI registry since April 2023. The organization lists Kiara D Merchant, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1215622972
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMMUNITY WELLNESS GROUP LLC
Location Address332 E MONTICELLO STBrookhaven, MS 39601-3430
Mailing Address332 E Monticello StBrookhaven, MS 39601-3430 · (601) 669-7357
Phone(601) 669-7357
Organization SubpartNo
Authorized OfficialKiara D MerchantNurse Practitioner · (601) 669-7357
Enumeration DateApril 10, 2023
NPPES CertifiedApril 8, 2023
✔ NPI 1215622972 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
332 E MONTICELLO ST, Brookhaven, MS 39601
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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

Other Providers at the Same Location NPPES

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

MRS. GRETA LOUISE KEYS FNP-BC
Nurse Practitioner (Family)
332 E MONTICELLO ST
BROOKHAVEN, MS 39601
Lincoln County (601) 833-3500

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 Community Wellness Group LLC's NPI number?

The NPI number for Community Wellness Group LLC is 1215622972. It was assigned to this organization in the NPPES registry on April 10, 2023.

Where is Community Wellness Group LLC located?

Community Wellness Group LLC is located at 332 E Monticello St, Brookhaven, MS 39601. The listed phone number is (601) 669-7357.

What is Community Wellness Group LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Community Wellness Group LLC was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.