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WHEELER FAMILY MEDICAL CLINIC
NPI 1770672339
Clinic/Center - Rural Health in Booneville, MS

Active since October 12, 2006
618 CR 5031, BOONEVILLE, MS 38829(662) 365-0200(662) 365-0199 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wheeler Family Medical Clinic NPPES

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

WHEELER FAMILY MEDICAL CLINIC (NPI 1770672339) is a healthcare organization registered as a rural health in Booneville, Mississippi and active in the NPI registry since October 2006. The organization lists Marie Tyus, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770672339
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAMY BENJAMIN
Location Address618 CR 5031Booneville, MS 38829
Mailing AddressPo Box 95Wheeler, MS 38880-0095 · (662) 365-0200 · Fax (662) 365-0199
Phone(662) 365-0200
Fax(662) 365-0199
Organization SubpartNo
Authorized OfficialMarie TyusOffice Manager · (662) 365-0200
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 28, 2008
✔ NPI 1770672339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R850588 (MS)
618 CR 5031, Booneville, MS 38829
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Other Names 1

Doing Business AsWheeler Family Medical Clinic

Other Identifiers 9

Medicare UPINQ73260
Medicaid04071559MS
Medicare PIN258992MS
Medicare UPINQ73260MS
Medicare PIN500002239
Medicare OSCAR/certification258992
Other04071559Medicaid Group
OtherC03567Clinic Upin
Medicaid03904817MS

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

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 Amy Benjamin's NPI number?

The NPI number for Amy Benjamin is 1770672339. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Wheeler Family Medical Clinic.

Where is Amy Benjamin located?

Amy Benjamin is located at 618 Cr 5031, Booneville, MS 38829. The listed phone number is (662) 365-0200.

What is Amy Benjamin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Amy Benjamin was last updated on July 28, 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.