Integrated Medical and Wellness Clinic of Mississippi LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC

Practice address

2556 Marcia CT
Biloxi, MS 39531-2352

Phone

(228) 248-0561

Fax

(228) 248-0562

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

David F Rowe

Title

Authorized Official

Phone

(228) 248-0561

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1235787185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 MARCIA CT",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312352",
            "telephone_number": "228-248-0561",
            "fax_number": "228-248-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 MARCIA CT",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312352",
            "telephone_number": "228-248-0561",
            "fax_number": "228-248-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "228-248-0561"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin M Hyde, R.D.
• Illuminated Direction
• Immediate Family Clinic
• Yashica R Inman
• Integrated Behavioral Health, PLLC
• Iop Behavioral Health, LLC
• Lori Dee Isaac
• Kyle Iverson
• J. L. Miles, DO Sleep Lab
• Alchar G Jackson, CFNP

• Family Medicine Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.