Wellness Oasis Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WELLNESS OASIS INC

Practice address

1700 S Colorado St
Greenville, MS 38703-7275

Phone

(662) 702-3499

Fax

(662) 702-3126

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Michellda Bradshaw

Title

Owner

Phone

(662) 719-1912

Specialties & licenses 1

Addresses

Other names 1

• Wellness Oasis Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Tax ID family

Wellness Oasis Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellness Oasis Inc

  • Assisted Living Facility
  • Inverness, MS
  • NPI 1427834357
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khaled Nadim Abu-Hamdan, M. D.

  • Psychiatry Physician
  • Whitfield, MS
  • NPI 1356482459
  Medicare reassignment NPD

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1720864796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CHRISTY DR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387328780",
            "telephone_number": "662-719-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037275",
            "telephone_number": "662-702-3499",
            "fax_number": "662-702-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS OASIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "MICHELLDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-719-1912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Oasis Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wellness Oasis Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicole Watkins
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• Lisa A Weathers, PT
• Angelisa Weatherspoon
• Wells Lott Village Pharmacy
• Felicia Norris White, FNP
• Letitia White
• April M Whitley
• Reginald L Whitley Jr.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenville, MS
• Providers in Greenville, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.