PIVOTAL HEALTH AND WELLNESS CLINIC, LLC
NPI 1700533890
Family Medicine in Pearl, MS

Q: What is Pivotal Health And Wellness Clinic, LLC's specialty?

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

Active since March 08, 2022CLIA 25D2256074 · Waiver

110 CROSS PARK DR STE A, PEARL, MS 39208(601) 397-6731 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2025, Mar 8, 2022 (2 updates tracked since 2022).

On this page

About Pivotal Health And Wellness Clinic, Llc NPPES

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

PIVOTAL HEALTH AND WELLNESS CLINIC, LLC (NPI 1700533890) is a healthcare organization registered as a family medicine in Pearl, Mississippi and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Grenisha L Young, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1700533890

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePIVOTAL HEALTH AND WELLNESS CLINIC, LLC

Location Address110 CROSS PARK DR STE APearl, MS 39208-9016

Mailing AddressPo Box 4244Brandon, MS 39047-4244

Phone(601) 397-6731

Organization SubpartNo

Authorized OfficialGrenisha L YoungNurse Practitioner · (601) 397-6731

Enumeration DateMarch 8, 2022

Last NPPES UpdateDecember 26, 20252 updates tracked since enumeration

NPPES CertifiedDecember 26, 2025

✔ NPI 1700533890 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.

110 CROSS PARK DR STE A, Pearl, MS 39208

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D2256074

Pivotal Health And Wellness Clinic LLC · Pearl, MS

Active · expires Mar 20, 2028

CLIA Number25D2256074

Laboratory TypePhysician Office

Certificate Effective DateMarch 21, 2026

Certificate Expiration DateMarch 20, 2028

Laboratory DirectorGrenisha Young

Laboratory Phone(601) 334-0113

Laboratory LocationPivotal Health And Wellness Clinic LLC110 Cross Park Dr Ste A, Pearl, MS 39208

CLIA data matches this NPI record on: Address Name

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 Pivotal Health And Wellness Clinic, LLC's NPI number?

The NPI number for Pivotal Health And Wellness Clinic, LLC is 1700533890. It was assigned to this organization in the NPPES registry on March 8, 2022.

Where is Pivotal Health And Wellness Clinic, LLC located?

Pivotal Health And Wellness Clinic, LLC is located at 110 Cross Park Dr Ste A, Pearl, MS 39208. The listed phone number is (601) 397-6731.

What is Pivotal Health And Wellness Clinic, LLC's specialty?

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

Does Pivotal Health And Wellness Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2256074) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pivotal Health And Wellness Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Pivotal Health And Wellness Clinic, LLC 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 Pivotal Health And Wellness Clinic, LLC was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.