DAVIS FAMILY MEDICAL & EXPRESS CARE
NPI 1639935042
Nurse Practitioner - Family in Hernando, MS

Active since February 23, 2024CLIA 25D2306918 · Waiver
116 E COMMERCE ST, HERNANDO, MS 38632(662) 213-0042 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2024, Jun 7, 2024 (2 updates tracked since 2024).

About Davis Family Medical & Express Care NPPES

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

DAVIS FAMILY MEDICAL & EXPRESS CARE (NPI 1639935042) is a healthcare organization registered as a family in Hernando, Mississippi and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Will Watson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639935042
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTOTAL WELLNESS SPECIALIST
Location Address116 E COMMERCE STHernando, MS 38632-2302
Mailing Address429 E Commerce St, Pmb 116Hernando, MS 38632-2348 · (662) 202-5410
Organization SubpartYes
Authorized OfficialWill WatsonOffice Manager · (901) 409-0258
Enumeration DateFebruary 23, 2024
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1639935042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
116 E COMMERCE ST, Hernando, MS 38632

Other Names 1

Doing Business AsDavis Family Medical & Express Care

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

Accepted 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 25D2306918

Davis Family Medical & Express Care · Hernando, MS
Active · expires Jun 25, 2028
CLIA Number25D2306918
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorTimothy G. Davis
Laboratory Phone(662) 469-6000
Laboratory LocationDavis Family Medical & Express Care116 E Commerce, Hernando, MS 38632
CLIA data matches this NPI record on: Address Name
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.

Nurse Practitioner (Family)
116 E COMMERCE ST
HERNANDO, MS 38632

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 Total Wellness Specialist's NPI number?

The NPI number for Total Wellness Specialist is 1639935042. It was assigned to this organization in the NPPES registry on February 23, 2024. The provider is doing business as Davis Family Medical & Express Care.

Where is Total Wellness Specialist located?

Total Wellness Specialist is located at 116 E Commerce St, Hernando, MS 38632. The listed phone number is (662) 213-0042.

What is Total Wellness Specialist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Total Wellness Specialist hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2306918) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Total Wellness Specialist accept?

Health plans from Molina Healthcare list Total Wellness Specialist 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 Total Wellness Specialist was last updated on June 11, 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.