NPIMap

Organization Active NPI

Rapha Wellness and Primary Care, LLC

  • Primary Care Clinic/Center
  • Flowood, MS
National Provider Identifier
1457051591
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RAPHA WELLNESS AND PRIMARY CARE, LLC
Practice address
140 Daughdrill Sta
Flowood, MS 39232-8406
Phone
(601) 965-9400
Fax
(601) 965-9418
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Mrs. Natalie Michelle Alexander
Title
Payroll and Accounts Specialist
Phone
(601) 965-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

140 Daughdrill Sta
Flowood, MS 39232-8406

Mailing address

140 Daughdrill Sta
Flowood, MS 39232-8406
Phone (601) 965-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501003470 MS Part B Supplier - Clinic/Group Practice 9830539261 Receives reassigned benefits from 5 practitioners
Practice locations: Flowood, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1457051591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DAUGHDRILL STA",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328406",
            "telephone_number": "601-965-9400",
            "fax_number": "601-965-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DAUGHDRILL STA",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328406",
            "telephone_number": "601-965-9400",
            "fax_number": "601-965-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA WELLNESS AND PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PAYROLL AND ACCOUNTS SPECIALIST",
        "authorized_official_telephone_number": "601-965-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.