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WALLEY CLINIC PA
NPI 1669463584
Family Medicine in Waynesboro, MS

Active since October 31, 2005
920 MATTHEW DR, STE A, WAYNESBORO, MS 39367(601) 735-2401(601) 735-5205 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walley Clinic Pa NPPES

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

WALLEY CLINIC PA (NPI 1669463584) is a healthcare organization registered as a family medicine in Waynesboro, Mississippi and active in the NPI registry since October 2005. The organization lists Eletha Jane Jenkins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669463584
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWALLEY CLINIC PA
Location Address920 MATTHEW DR, STE AWaynesboro, MS 39367-2567
Mailing Address920 Matthew Dr, Ste AWaynesboro, MS 39367-2567 · (601) 735-2401 · Fax (601) 735-5205
Phone(601) 735-2401
Fax(601) 735-5205
Organization SubpartNo
Authorized OfficialEletha Jane JenkinsCeo · (601) 735-2401
Enumeration DateOctober 31, 2005
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1669463584 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.
920 MATTHEW DR, Waynesboro, MS 39367
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Other Identifiers 3

Medicaid09011779MS
Medicare OSCAR/certification258986
Medicare PINC00213

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM EDWIN POWELL M.D.
Family Medicine
920 MATTHEW DR, STE A
WAYNESBORO, MS 39367
Wayne County (601) 735-2401
CYNTHIA C. ODOM CNM, FNP
Advanced Practice Midwife
920 MATTHEW DR
WAYNESBORO, MS 39367
Wayne County (601) 735-2401
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Dermatology
920 MATTHEW DR, SUITE 8
WAYNESBORO, MS 39367
Wayne County (601) 425-7583
WULF HIRSCHFIELD MD
Internal Medicine
920 MATTHEW DR, SUITE D
WAYNESBORO, MS 39367
Wayne County (601) 735-3918
DR. THOMAS CASEY WOODRING M.D.
Obstetrics & Gynecology
920 MATTHEW DR, SUITE A
WAYNESBORO, MS 39367
Wayne County (601) 735-2401
JATINDER SINGH MD
Internal Medicine
920 MATTHEW DR
WAYNESBORO, MS 39367
Wayne County (601) 735-2281

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 Walley Clinic PA's NPI number?

The NPI number for Walley Clinic PA is 1669463584. It was assigned to this organization in the NPPES registry on October 31, 2005.

Where is Walley Clinic PA located?

Walley Clinic PA is located at 920 Matthew Dr Ste A, Waynesboro, MS 39367. The listed phone number is (601) 735-2401.

What is Walley Clinic PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Walley Clinic PA was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.