LIVWELL CLINIC PLLC
NPI 1427831973
Family Medicine in Meridian, MS

Active since August 17, 2023
4715 24TH PL, MERIDIAN, MS 39305(601) 696-6736 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine

About LIVWELL CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Livwell Clinic Pllc, a primary care provider established in Meridian, Mississippi operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1427831973 assigned on August 2023. 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. Livwell Clinic Pllc 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 Andrea Denise Goodwin Md (Owner And Medical Director)

NPI
1427831973 Verify this NPI
Provider Name
LIVWELL CLINIC PLLC
Entity Type
Organization
Location Address
4715 24TH PL MERIDIAN, MS 39305
Location Phone
(601) 696-6736
Mailing Address
6500 RIVER PLACE BLVD BLDG 4 STE 102 AUSTIN, TX 78730
Mailing Phone
(607) 434-2102
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2023
Last Update Date
08-17-2023
Code Navigator

A primary care provider (PCP) like Livwell Clinic Pllc 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 .

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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP2300XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Primary Care

 

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

ANDREA DENISE GOODWIN MD

Authorized Official Title
OWNER AND MEDICAL DIRECTOR
Authorized Official Phone
(607) 434-2102

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Marriage & Family Therapist
4715 24TH PL
MERIDIAN, MS 39305
Counselor (Professional)
4715 24TH PL
MERIDIAN, MS 39305
Nurse Practitioner
4715 24TH PL
MERIDIAN, MS 39305
Nurse Practitioner (Family)
4715 24TH PL
MERIDIAN, MS 39305
Nurse Practitioner (Family)
4715 24TH PL
MERIDIAN, MS 39305
Family Medicine (Obesity Medicine)
4715 24TH PL
MERIDIAN, MS 39305
Plastic Surgery
4715 24TH PL
MERIDIAN, MS 39305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427831973, enumerated as an "organization" on August 17, 2023.

The provider is located at 4715 24TH PL MERIDIAN, MS 39305 and the phone number is (601) 696-6736.

Family Medicine with taxonomy code 207Q00000X.