IMPACT HEALTH & WELLNESS CLINIC
NPI 1851255962
Nurse Practitioner - Family in Ridgeland, MS

Active since December 12, 2025
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157(601) 236-1800 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2026, Dec 12, 2025 (2 updates tracked since 2025).

About Impact Health & Wellness Clinic NPPES

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

IMPACT HEALTH & WELLNESS CLINIC (NPI 1851255962) is a healthcare organization registered as a family in Ridgeland, Mississippi and active in the NPI registry since December 2025. The organization lists Melissa Wheaton, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1851255962
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIMPACT HEALTH & WELLNESS CLINIC
Location Address270 TRACE COLONY PARK DR STE BRidgeland, MS 39157-8810
Mailing Address39 Trystan DrPetal, MS 39465-2806 · (601) 236-1800
Organization SubpartNo
Authorized OfficialMelissa WheatonProvider/owner · (601) 236-1800
Enumeration DateDecember 12, 2025
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1851255962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
270 TRACE COLONY PARK DR STE B, Ridgeland, MS 39157

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Health & Wellness Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Health & Wellness Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1629791660
270 TRACE COLONY PARK DR # B
Ridgeland, MS 39157
(601) 236-1800
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Impact Health & Wellness Clinic's NPI number?

The NPI number for Impact Health & Wellness Clinic is 1851255962. It was assigned to this organization in the NPPES registry on December 12, 2025.

Where is Impact Health & Wellness Clinic located?

Impact Health & Wellness Clinic is located at 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157. The listed phone number is (601) 236-1800.

What is Impact Health & Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Impact Health & Wellness Clinic enrolled in Medicare?

Yes. Impact Health & Wellness Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Health & Wellness Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Impact Health & Wellness Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Impact Health & Wellness Clinic was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.