Organization Active NPI

The Greenhouse Wellness Center PLLC

  • Medical Specialty Clinic/Center
  • Indianola, MS
National Provider Identifier
1043980261
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
THE GREENHOUSE WELLNESS CENTER PLLC
Practice address
101 Seymour Dr
Indianola, MS 38751-2615
Phone
(662) 445-3105
NPI assigned
Sep 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelsey Dowell, DONPI 1619358074
Title
Physician and Ceo
Phone
(662) 445-3105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

101 Seymour Dr
Indianola, MS 38751-2615

Mailing address

101 Seymour Dr
Indianola, MS 38751-2615

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@thegreenhousewellness.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631923200000",
    "number": "1043980261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SEYMOUR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SEYMOUR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512615",
            "telephone_number": "662-445-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREENHOUSE WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "DOWELL",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "PHYSICIAN AND CEO",
        "authorized_official_telephone_number": "662-445-3105",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@thegreenhousewellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "101 Seymour Dr",
            "city": "Indianola",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387512615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.