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RIVER CITY PRIMARY CARE AND WELLNESS CENTER
NPI 1669231676
Clinic/Center - Multi-Specialty in Pascagoula, MS

Active since March 14, 2024
3702 JEFFERSON AVE, PASCAGOULA, MS 39563(228) 205-4592(228) 205-4593 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About River City Primary Care And Wellness Center NPPES

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

RIVER CITY PRIMARY CARE AND WELLNESS CENTER (NPI 1669231676) is a healthcare organization registered as a multi-specialty in Pascagoula, Mississippi and active in the NPI registry since March 2024. The organization lists Yolanda Long, Owner, as its authorized official.

NPPES Registry Identity

NPI1669231676
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRIVER CITY PRIMARY CARE AND WELLNESS CENTER
Location Address3702 JEFFERSON AVEPascagoula, MS 39563-6218
Mailing Address3702 Jefferson AveMoss Point, MS 39563-6218 · (228) 205-4592 · Fax (228) 205-4593
Phone(228) 205-4592
Fax(228) 205-4593
Organization SubpartNo
Authorized OfficialYolanda LongOwner · (251) 554-6288
Enumeration DateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1669231676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
3702 JEFFERSON AVE, Pascagoula, MS 39563
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

River City Primary Care And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to River City Primary Care And Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yolanda Long, NURSE PRACTITIONER
Nurse Practitioner
NPI 1912302159
3702 JEFFERSON AVE
Pascagoula, MS 39563
(228) 205-4592
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 River City Primary Care And Wellness Center's NPI number?

The NPI number for River City Primary Care And Wellness Center is 1669231676. It was assigned to this organization in the NPPES registry on March 14, 2024.

Where is River City Primary Care And Wellness Center located?

River City Primary Care And Wellness Center is located at 3702 Jefferson Ave, Pascagoula, MS 39563. The listed phone number is (228) 205-4592.

What is River City Primary Care And Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is River City Primary Care And Wellness Center enrolled in Medicare?

Yes. River City Primary Care And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River City Primary Care And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to River City Primary Care And Wellness Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for River City Primary Care And Wellness Center was last updated on March 14, 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.