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Family Wellness Clinic LLC

Family Medicine Physician in Port Gibson, MS · enumerated 2007 · authorized official Tanya Anderson, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457544066

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Registry record

Entity type Organization (Type 2)
Legal business name Family Wellness Clinic LLC
Practice address 703b Farmer St, Port Gibson, MS, 39150
Phone (601) 437-5668
Fax (601) 437-4533
Enumeration date Aug 27, 2007
Last updated in NPPES Jul 9, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 16897 (MS) Primary

Authorized official

Name Tanya Anderson
Title Member
Phone (601) 437-5668

Other identifiers

Identifier Type State Issuer
00122761 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Family Wellness Clinic LLC?
The NPI for Family Wellness Clinic LLC is 1457544066, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Family Wellness Clinic LLC?
NPPES lists Tanya Anderson (Member) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-09.