Organization Active NPI

Bliss Health and Wellness LLC

Doing business as WellMed- Wellness & Primary Care

  • Family Medicine Physician
  • Amory, MS
National Provider Identifier
1619710696
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLISS HEALTH AND WELLNESS LLC
Doing business as
WellMed- Wellness & Primary Care
Practice address
203 5TH Ave S
Amory, MS 38821-4216
Phone
(662) 825-0987
NPI assigned
Jun 17, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Stephanie Brooke Reeves, NPNPI 1508335878
Title
Owner
Phone
(662) 825-0987

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

203 5TH Ave S
Amory, MS 38821-4216

Mailing address

905 9TH Ave N
Amory, MS 38821-1908
Phone (662) 825-0987

Other names 1

  • WellMed- Wellness & Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240726002869 MS Part B Supplier - Clinic/Group Practice 6709322654 Receives reassigned benefits from 1 practitioner
Practice locations: Amory, MS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2308566Wellmed-Wellness & Primary Care203 5TH Ave S, Amory, MS 38821Certificate of waiverJul 29, 2026

National Provider Directory

National Provider Directory

Locations

203 5th Ave S
Amory, MS 38821
Phone (662) 825-0987

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1619710696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 9TH AVE N",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388211908",
            "telephone_number": "662-825-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 5TH AVE S",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214216",
            "telephone_number": "662-825-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-825-0987",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellMed- Wellness & Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.