INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
NPI 1235787185
Family Medicine in Biloxi, MS

NPI Status: Active since September 03, 2019

Contact Information

2556 MARCIA CT
BILOXI, MS
ZIP 39531
Phone: (228) 248-0561
Fax: (228) 248-0562

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  • Organization
  • Family Medicine
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 25D2314789
  • CLIA Cert. Type: Other - OUTPATIENT CLINIC
  • CLIA Exp. Date: 11-26-2026

About INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC

This page provides the complete NPI Profile along with additional information for Integrated Medical And Wellness Clinic Of Mississippi Llc, a primary care provider established in Biloxi, Mississippi operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1235787185 assigned on September 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Integrated Medical And Wellness Clinic Of Mississippi Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David F Rowe (Authorized Official)

NPI
1235787185
Provider Name
INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
Entity Type
Organization
Location Address
2556 MARCIA CT BILOXI, MS 39531
Location Phone
(228) 248-0561
Location Fax
(228) 248-0562
Mailing Address
2556 MARCIA CT BILOXI, MS 39531
Mailing Phone
(228) 248-0561
Mailing Fax
(228) 248-0562
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2019
Last Update Date
06-14-2023
Code Navigator

A primary care provider (PCP) like Integrated Medical And Wellness Clinic Of Mississippi Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Integrated Medical And Wellness Clinic Of Mississippi Llc is a medicare supplier with PTAN 20414195 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Heat & Cold Applications or Insulin Infusion Pumps and/or Supplies or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID F ROWE

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(228) 248-0561

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20414195
Accepts Medicare Assignment
YES
Provider Type List
NURSE PRACTITIONER, SPORTS MEDICINE, MULTI-SPECIALTY - PHYSICIAN, PHYSICIAN – EMERGENCY MEDICINE.
Competitive Bidding
NO

Supplies List

  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Insulin Infusion Pumps and/or Supplies - Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2314789
Facility Type
Other - OUTPATIENT CLINIC
Certificate Effective Date
November 27, 2024
Certificate Expiration Date
November 26, 2026
Laboratory Director
SANJAY MALHOTRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Integrated Medical And Wellness Clinic Of Mississippi Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235787185, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 4 + 8 + 1 + 4 + 1 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1235787185.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2556 MARCIA CT
BILOXI, MS 39531
Nurse Practitioner (Family)
2556 MARCIA CT
BILOXI, MS 39531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235787185, enumerated as an "organization" on September 03, 2019.

The provider is located at 2556 MARCIA CT BILOXI, MS 39531 and the phone number is (228) 248-0561.

Family Medicine with taxonomy code 207Q00000X.