Active NPI
Renewed Wellness Company, PLLC
- Physical Therapy Clinic/Center
- Beaumont, MS
National Provider Identifier
1851003917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- RENEWED WELLNESS COMPANY, PLLC
- Practice address
- 627 Wingate Rd
Beaumont, MS 39423-2415 - Phone
- (601) 323-6431
- NPI assigned
- Dec 21, 2022
- Last updated
- Jul 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Leigh Mills, PT
- Title
- Owner/Physical Therapy
- Phone
- (601) 323-6431
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
627 Wingate Rd
Beaumont, MS 39423-2415
Mailing address
627 Wingate Rd
Beaumont, MS 39423-2415
Phone (601) 323-6431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Richton, MS
- NPI 1659648970
-
- Occupational Therapist
- Hattiesburg, MS
- NPI 1912245010
-
- Physical Therapist
- Collins, MS
- NPI 1801003066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751500800000",
"number": "1851003917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 WINGATE RD",
"city": "BEAUMONT",
"state": "MS",
"postal_code": "394232415",
"telephone_number": "601-323-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 WINGATE RD",
"city": "BEAUMONT",
"state": "MS",
"postal_code": "394232415",
"telephone_number": "601-323-6431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED WELLNESS COMPANY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-21",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPY",
"authorized_official_telephone_number": "601-323-6431",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.