Wolfe Family Medical Clinic PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WOLFE FAMILY MEDICAL CLINIC PLLC

Practice address

203 E Walnut St
Charleston, MS 38921

Phone

(662) 647-0900

Fax

(662) 647-0938

NPI assigned

May 14, 2007

Last updated

Mar 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carlene M Wolfe, CFNP

Title

Nurse Practitioner Owner

Phone

(662) 647-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Addie Parks Herrod, CFNP

  • Family Nurse Practitioner
  • Canton, MS
  • NPI 1689769796
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1316152010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "address_2": "203 EAST WALNUT STREET",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389210069",
            "telephone_number": "662-647-0900",
            "fax_number": "662-647-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E WALNUT ST",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "662-647-0900",
            "fax_number": "662-647-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER OWNER",
        "authorized_official_telephone_number": "662-647-0900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08184344",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassala Ward, MSN, RN, FNP-C
• Wiggins Family Dental, PLLC (Market Street Family Dental)
• Kyle Wiggins, D.M.D.
• James Oscar Wilde Jr., M.D.
• Audrey Leann Williamson, NP-C
• Woods Drug Store Inc (Main Street Pharmacy)

• Rural Health Clinic/Center in Charleston, MS
• Providers in Charleston, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.