Family Wellness Clinic LLC
NPI 1457544066ActiveOrganization· Family Medicine· Port Gibson, MS
Family Medicine in Port Gibson, Mississippi, registered in NPPES in August 2007. The authorized official on file is Tanya S. Anderson, M.D., Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457544066 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2007 |
| Last updated in NPPES | Jul 9, 2021 |
| Certified by provider | Jul 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 16897 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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