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OVATION WOMENS WELLNESS LLC
NPI 1548688310
Obstetrics & Gynecology - Gynecology in Madison, MS

Active since March 31, 2014CLIA 25D2086327 · Waiver
111 COLONY CROSSING WAY STE 230, MADISON, MS 39110(601) 326-6401(601) 326-6405 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2020, May 20, 2019 (2 updates tracked since 2019).

About Ovation Womens Wellness Llc NPPES

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

OVATION WOMENS WELLNESS LLC (NPI 1548688310) is a healthcare organization registered as a gynecology in Madison, Mississippi and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Karla Ann Ford, Administrative And Hr Manager, as its authorized official.

NPPES Registry Identity

NPI1548688310
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameOVATION WOMENS WELLNESS LLC
Location Address111 COLONY CROSSING WAY STE 230Madison, MS 39110-6833
Mailing AddressPo Box 3488Tupelo, MS 38803-3488 · (601) 326-6401 · Fax (601) 326-6405
Phone(601) 326-6401
Fax(601) 326-6405
Organization SubpartNo
Authorized OfficialKarla Ann FordAdministrative And Hr Manager · (601) 714-1031
Enumeration DateMarch 31, 2014
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1548688310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X
111 COLONY CROSSING WAY STE 230, Madison, MS 39110
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Other Names 1

Doing Business AsOvation Womens Wellness Llc

Other Identifiers 1

Medicaid00573730MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 25D2086327

Ovation Womens Wellness Dba Ovation Wellness LLC · Madison, MS
Active · expires Oct 30, 2026
CLIA Number25D2086327
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorValerie Hildebrand
Laboratory Phone(601) 326-6401
Laboratory LocationOvation Womens Wellness Dba Ovation Wellness LLC111 Colony Crossing Way, Suite 250, Madison, MS 39110
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 Ovation Womens Wellness LLC's NPI number?

The NPI number for Ovation Womens Wellness LLC is 1548688310. It was assigned to this organization in the NPPES registry on March 31, 2014.

Where is Ovation Womens Wellness LLC located?

Ovation Womens Wellness LLC is located at 111 Colony Crossing Way Ste 230, Madison, MS 39110. The listed phone number is (601) 326-6401.

What is Ovation Womens Wellness LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Ovation Womens Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2086327) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ovation Womens Wellness LLC was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.