PROLIFIC HEALTH & WELLNESS PA
NPI 1962913541
Clinic/Center in Jackson, MS

Q: What is Prolific Health & Wellness PA's NPI number?

The NPI number for Prolific Health & Wellness PA is 1962913541. It was assigned to this organization in the NPPES registry on October 23, 2017.

Q: What is Prolific Health & Wellness PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 23, 2017

2675 RIVER RIDGE DR, JACKSON, MS 39216(769) 257-0586 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prolific Health & Wellness Pa NPPES

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

PROLIFIC HEALTH & WELLNESS PA (NPI 1962913541) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since October 2017. The organization lists Kimberly Mccullough Smash, Founder, as its authorized official.

NPPES Registry Identity

NPI1962913541

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePROLIFIC HEALTH & WELLNESS PA

Location Address2675 RIVER RIDGE DRJackson, MS 39216-5012

Mailing Address605 Chickasaw Dr NFlowood, MS 39232-8680

Phone(769) 257-0586

Organization SubpartNo

Authorized OfficialKimberly Mccullough SmashFounder · (769) 257-0586

Enumeration DateOctober 23, 2017

Last NPPES UpdateJanuary 3, 2018

✔ NPI 1962913541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2675 RIVER RIDGE DR, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. KIMBERLY MCCULLOUGH SMASH M.D.

Family Medicine

2675 RIVER RIDGE DR
JACKSON, MS 39216

Hinds County (601) 718-0308

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 Prolific Health & Wellness PA's NPI number?

The NPI number for Prolific Health & Wellness PA is 1962913541. It was assigned to this organization in the NPPES registry on October 23, 2017.

Where is Prolific Health & Wellness PA located?

Prolific Health & Wellness PA is located at 2675 River Ridge Dr, Jackson, MS 39216. The listed phone number is (769) 257-0586.

What is Prolific Health & Wellness PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Prolific Health & Wellness PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Prolific Health & Wellness PA 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 Prolific Health & Wellness PA was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.