Health Wellness Promotion LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

R869143 Issued in MS

Legal business name

HEALTH WELLNESS PROMOTION LLC

Doing business as

Bolton Family Clinic

Practice address

115 W Madison St
Bolton, MS 39041-3209

Phone

(601) 866-7723

Fax

(601) 866-7773

NPI assigned

Jul 2, 2015

Last updated

Dec 8, 2020By 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

Dr. Amy Monett-Shamon Thomas, DNP

Title

FNP-C/Owner

Phone

(601) 866-7723

Specialties & licenses 2

Addresses

Other names 1

• Bolton Family Clinic Doing business as

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1811370216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "BOLTON",
            "state": "MS",
            "postal_code": "390410360",
            "telephone_number": "601-866-7723",
            "fax_number": "601-866-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MADISON ST",
            "city": "BOLTON",
            "state": "MS",
            "postal_code": "390413209",
            "telephone_number": "601-866-7723",
            "fax_number": "601-866-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WELLNESS PROMOTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MONETT-SHAMON",
        "authorized_official_title_or_position": "FNP-C/OWNER",
        "authorized_official_telephone_number": "601-866-7723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "R869143",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "R869143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolton Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coleman A. Boyd, M.D.
• Caring Hands Touch of Care
• Central Mississippi Civic Improvement Association, Inc (Jackson Hinds Comprehensive Health Center)
• Dr Robert Woodruff DPM PA
• Janet Gray
• Lisa Byrd Healthcare Inc (Bolton Family Clinic)
• Lisa Byrd Healthcare Inc (Bolton Family Clinic)
• Jean Pennington Marks, GNP-BC
• Mississippi Nurse Practitioners Inc
• Fredrica Oliver

• Rural Health Clinic/Center in Bolton, MS
• Providers in Bolton, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.