Organization Active NPI

Wellness Centers of Midamerica PLLC

Doing business as Arkansas Pain, Wound and Wellness Clinic

  • General Practice Physician
  • Russellville, AR
National Provider Identifier
1326693474
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WELLNESS CENTERS OF MIDAMERICA PLLC
Doing business as
Arkansas Pain, Wound and Wellness Clinic
Arkansas Pain, Wound and Welness Clinic
Practice address
501 E B St
Russellville, AR 72801-4129
Phone
(479) 567-5467
Fax
(479) 219-5500
NPI assigned
Aug 6, 2019
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mrs. Mary Annette Pugh, M.D.NPI 1831359082
Title
Owner MD
Phone
(479) 567-5467

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
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

501 E B St
Russellville, AR 72801-4129

Mailing address

501 E B St
Russellville, AR 72801-4129
Phone (479) 567-5467

Other names 2

  • Arkansas Pain, Wound and Wellness Clinic Doing business as
  • Arkansas Pain, Wound and Welness Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190925003195 AR Part B Supplier - Clinic/Group Practice 1850621319 Receives reassigned benefits from 3 practitioners
Practice locations: Russellville, AR

National Provider Directory

National Provider Directory

Locations

2621 W Main St
Ste 2
Russellville, AR 72801
Phone (479) 968-4068

2621 W Main St
Ste 2A
Russellville, AR 72801
Phone (479) 567-5467

501 E B St
Russellville, AR 72801
Phone (479) 567-5467

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1326693474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E B ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014129",
            "telephone_number": "479-567-5467",
            "fax_number": "479-219-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E B ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014129",
            "telephone_number": "479-567-5467",
            "fax_number": "479-219-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTERS OF MIDAMERICA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "479-567-5467",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Pain, Wound and Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Pain, Wound and Welness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Pain, Wound and Welness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.