GRACEFUL WELLNESS LLC
NPI 1952106882
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS
About Graceful Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACEFUL WELLNESS LLC (NPI 1952106882) is a healthcare organization registered as a psychiatric/mental health in Jackson, Mississippi and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Deidra Thompson, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Graceful Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Graceful Wellness LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Jackson, MS 39216
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 25D2341079
Graceful Wellness PLLC · Flowood, MSFrequently 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 Graceful Wellness LLC's NPI number?
The NPI number for Graceful Wellness LLC is 1952106882. It was assigned to this organization in the NPPES registry on February 14, 2025.
Where is Graceful Wellness LLC located?
Graceful Wellness LLC is located at 2616 Southerland St Ste 100, Jackson, MS 39216. The listed phone number is (601) 953-1504.
What is Graceful Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Graceful Wellness LLC enrolled in Medicare?
Yes. Graceful Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Graceful Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Graceful Wellness LLC, in Marriage and Family Therapist and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Graceful Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2341079) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Graceful Wellness LLC accept?
Health plans from Molina Healthcare list Graceful Wellness 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 Graceful Wellness LLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Graceful Wellness Llc · NPI 1952106882
Psychiatric/Mental Health organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since February 14, 2025.
## Identity
- **NPI:** 1952106882 (Entity type: Organization)
- **Enumerated:** February 14, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Deidra Thompson, MANAGING MEMBER
## Practice location
- **Address:** 2616 SOUTHERLAND ST STE 100, Jackson, MS 39216-4855
- **Phone:** (601) 953-1504 · **Fax:** (601) 866-1674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Marriage and Family Therapist (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952106882) · Data from the CMS NPPES public registry.