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PREMIER HEALTH & WELLNESS CLINIC
NPI 1366108805
Nurse Practitioner - Primary Care in Natchez, MS

Active since November 09, 2021CLIA 25D2087561 · Waiver
300 HIGHLAND BLVD STE B, NATCHEZ, MS 39120(601) 304-2421(601) 446-6428 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Health & Wellness Clinic NPPES

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

PREMIER HEALTH & WELLNESS CLINIC (NPI 1366108805) is a healthcare organization registered as a primary care in Natchez, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Raven Mishael Campbell-smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1366108805
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePREMIER HEALTH & WELLNESS CLINIC
Location Address300 HIGHLAND BLVD STE BNatchez, MS 39120-4600
Mailing Address300 Highland Blvd Ste BNatchez, MS 39120-4600 · (601) 304-2421 · Fax (601) 446-6428
Phone(601) 304-2421
Fax(601) 446-6428
Organization SubpartNo
Authorized OfficialRaven Mishael Campbell-smithOwner · (601) 304-2421
Enumeration DateNovember 9, 2021
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1366108805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
300 HIGHLAND BLVD STE B, Natchez, MS 39120
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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 25D2087561

Premier Health & Wellness Clinic · Natchez, MS
Active · expires Nov 30, 2026
CLIA Number25D2087561
Laboratory TypePractitioner Other
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorRaven Campbell-Smith
Laboratory Phone(601) 304-2421
Laboratory LocationPremier Health & Wellness Clinic300 Highland Blvd, Suite B, Natchez, MS 39120
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RAVEN M. CAMPBELL-SMITH FNP-C
Nurse Practitioner (Primary Care)
300 HIGHLAND BLVD STE B
NATCHEZ, MS 39120
Adams County (601) 304-2421

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 Premier Health & Wellness Clinic's NPI number?

The NPI number for Premier Health & Wellness Clinic is 1366108805. It was assigned to this organization in the NPPES registry on November 9, 2021.

Where is Premier Health & Wellness Clinic located?

Premier Health & Wellness Clinic is located at 300 Highland Blvd Ste B, Natchez, MS 39120. The listed phone number is (601) 304-2421.

What is Premier Health & Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Premier Health & Wellness Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2087561) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Health & Wellness Clinic 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 list Premier Health & Wellness Clinic 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 Premier Health & Wellness Clinic was last updated on March 18, 2022. 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.