Quinn Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

QUINN WELLNESS

Practice address

128 W Cunningham Ave
Terry, MS 39170

Phone

(769) 666-9021

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By 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

Melissa Quinn

Title

Operations

Phone

(769) 666-9021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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.

• Timothy Michael Quinn, MD

  • Family Medicine Physician
  • Ridgeland, MS
  • NPI 1447350483
  Medicare reassignment Care Compare group NPD
• Michaela D Smith, FNP-C

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1407504772
  Medicare reassignment Care Compare group NPD
• Ebonique Martin Buckner, NP-C

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1003465352
  Medicare reassignment NPD
• Keianna Renae Luckett, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Jackson, MS
  • NPI 1992480859
  Medicare reassignment NPD
• Lameka Q Miller, FNP

  • Family Nurse Practitioner
  • Vicksburg, MS
  • NPI 1720631161
  NPD (past)
• Carrington Albernise Sallie, NP

  • Family Nurse Practitioner
  • Ridgeland, MS
  • NPI 1316750045
  NPD (past)

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1396502589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 AVERY BLVD N",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575219",
            "telephone_number": "601-487-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W CUNNINGHAM AVE",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "39170",
            "telephone_number": "769-666-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "769-666-9021"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna W Oberhousen
• Parker Medical Services, LLC
• Aaron Parker
• Pedicare Staffing Agency, LLC
• Proficient Healthcare Solutions
• Kristi Richards
• Barbara Sharp
• Kaye Sly, PH.D.
• Star Healthcare Registry
• Tonya Tate, MS

• Family Medicine Physician in Terry, MS
• Providers in Terry, 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 Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.