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WELLS MEDICAL CLINIC INC
NPI 1780772780
Family Medicine in Bruce, MS

Active since October 11, 2006CLIA 25D0317213 · Certificate of Compliance
407 EAST CALHOUN ST, BRUCE, MS 38915(662) 983-2151(662) 983-7151 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wells Medical Clinic Inc NPPES

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

WELLS MEDICAL CLINIC INC (NPI 1780772780) is a healthcare organization registered as a family medicine in Bruce, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 16, 2027 and lists Willie L Wells, President Of Wells Medical Clinic, as its authorized official.

NPPES Registry Identity

NPI1780772780
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLS MEDICAL CLINIC INC
Location Address407 EAST CALHOUN STBruce, MS 38915
Mailing AddressPo Box 902Bruce, MS 38915 · (662) 983-2151 · Fax (662) 983-7151
Phone(662) 983-2151
Fax(662) 983-7151
Organization SubpartNo
Authorized OfficialWillie L WellsPresident Of Wells Medical Clinic · (662) 983-2151
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780772780 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 · 09661
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.
407 EAST CALHOUN ST, Bruce, MS 38915
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Other Identifiers 1

Medicaid09015158MS

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

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 Compliance 25D0317213

Wells Medical Clinic Inc · Bruce, MS
Active · expires Nov 16, 2027
CLIA Number25D0317213
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorWillie L. Wells
Laboratory Phone(662) 983-2151
Laboratory LocationWells Medical Clinic Inc407 E Calhoun St, Bruce, MS 38915
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

MR. WILLIE L WELLS MD
Family Medicine
407 EAST CALHOUN ST
BRUCE, MS 38915
Calhoun County (662) 983-2151

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 Wells Medical Clinic Inc's NPI number?

The NPI number for Wells Medical Clinic Inc is 1780772780. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Wells Medical Clinic Inc located?

Wells Medical Clinic Inc is located at 407 East Calhoun St, Bruce, MS 38915. The listed phone number is (662) 983-2151.

What is Wells Medical Clinic Inc's specialty?

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

Does Wells Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0317213) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wells Medical Clinic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.