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ICARE
NPI 1710231576
Family Medicine in Jackson, MS

Active since November 01, 2012
514 E WOODROW WILSON AVE, SUITE C, JACKSON, MS 39216(601) 714-8180(601) 922-9900 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icare NPPES

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

ICARE (NPI 1710231576) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since November 2012. The organization lists Shinita Reed Dudley, Physician, as its authorized official.

NPPES Registry Identity

NPI1710231576
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINTON WELLNESS CENTER LLC
Location Address514 E WOODROW WILSON AVE, SUITE CJackson, MS 39216-4538
Mailing Address514 E Woodrow Wilson Ave, Suite CJackson, MS 39216-4538 · (601) 714-8180 · Fax (601) 922-9900
Phone(601) 714-8180
Fax(601) 922-9900
Organization SubpartNo
Authorized OfficialShinita Reed DudleyPhysician · (601) 714-8180
Enumeration DateNovember 1, 2012
✔ NPI 1710231576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 18239
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.
514 E WOODROW WILSON AVE, Jackson, MS 39216
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Other Names 1

Doing Business AsIcare

Other Identifiers 5

Other1413306TN · Bcbs Of Tenn
Medicare UPIN100204MS
Other587159423IMS · Bcbs
Other512I080023MS · Mississippi Medicare Number
Medicaid07033864MS

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 2

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

LAUREN GRACE ARMSTRONG FNP
Nurse Practitioner (Family)
514 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 713-3900
CENTRAL MISSISSIPPI SITTER SERVICE INC
Respite Care
514 E WOODROW WILSON AVE, SUITE C
JACKSON, MS 39216
Hinds County (601) 366-0014

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 Clinton Wellness Center LLC's NPI number?

The NPI number for Clinton Wellness Center LLC is 1710231576. It was assigned to this organization in the NPPES registry on November 1, 2012. The provider is doing business as Icare.

Where is Clinton Wellness Center LLC located?

Clinton Wellness Center LLC is located at 514 E Woodrow Wilson Ave Suite C, Jackson, MS 39216. The listed phone number is (601) 714-8180.

What is Clinton Wellness Center LLC'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 Clinton Wellness Center LLC was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.