QUINN WELLNESS
NPI 1396502589
Family Medicine in Terry, MS

Active since March 04, 2024CLIA 25D2301648 · Waiver
128 W CUNNINGHAM AVE, TERRY, MS 39170(769) 666-9021 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Quinn Wellness NPPES

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

QUINN WELLNESS (NPI 1396502589) is a healthcare organization registered as a family medicine in Terry, Mississippi and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Melissa Quinn, Operations, as its authorized official.

NPPES Registry Identity

NPI1396502589
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUINN WELLNESS
Location Address128 W CUNNINGHAM AVETerry, MS 39170
Mailing Address768 Avery Blvd NRidgeland, MS 39157-5219 · (601) 487-6482
Organization SubpartNo
Authorized OfficialMelissa QuinnOperations · (769) 666-9021
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1396502589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
128 W CUNNINGHAM AVE, Terry, MS 39170

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quinn Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Quinn Wellness, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1992480859
2500 N STATE ST
Jackson, MS 39216
(601) 984-1000
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1003465352
768 AVERY BLVD N
Ridgeland, MS 39157
(601) 487-6482
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1447350483
768 AVERY BLVD N
Ridgeland, MS 39157
(601) 487-6482
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1407504772
768 AVERY BLVD N
Ridgeland, MS 39157
(601) 487-6482
✔ PECOS✔ Accepts Medicare24 mi

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 25D2301648

Quinn Wellness · Terry, MS
Active · expires Mar 27, 2028
CLIA Number25D2301648
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorTimothy M. Quinn
Laboratory Phone(601) 487-6482
Laboratory LocationQuinn Wellness128 Cunningham Avenue, Terry, MS 39170
CLIA data matches this NPI record on: Name 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 Quinn Wellness's NPI number?

The NPI number for Quinn Wellness is 1396502589. It was assigned to this organization in the NPPES registry on March 4, 2024.

Where is Quinn Wellness located?

Quinn Wellness is located at 128 W Cunningham Ave, Terry, MS 39170. The listed phone number is (769) 666-9021.

What is Quinn Wellness's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Quinn Wellness enrolled in Medicare?

Yes. Quinn Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quinn Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Quinn 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Quinn Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2301648) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Quinn Wellness accept?

Health plans from Cigna Healthcare and Molina Healthcare list Quinn 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 Quinn Wellness was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.