Clinton Wellness Center LLC
Clinton Wellness Center LLC is a healthcare organization registered as Family Medicine Physician in Jackson, MS, holding Type 2 (organization) NPI 1710231576 since 2012. The authorized official on file is Shinita Dudley, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710231576 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clinton Wellness Center LLC |
| Other name | <Unavail> |
| Practice address | 514 E WOODROW WILSON AVE, SUITE C, Jackson, MS, 39216 |
| Phone | 6017148180 |
| Fax | 6019229900 |
| Enumeration date | 2012-11-01 |
| Last updated in NPPES | 2012-11-01 |
Authorized official
| Name | Shinita Dudley |
|---|---|
| Title | Physician |
| Phone | 6017148180 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 18239 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07033864 | Medicaid | MS | — |
| 512I080023 | Other | MS | MISSISSIPPI MEDICARE NUMBER |
| 1413306 | Other | TN | BCBS OF TENN |
| 587159423I | Other | MS | BCBS |
Copy-ready billing details
Provider: Clinton Wellness Center LLC NPI: 1710231576 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 514 E WOODROW WILSON AVE, SUITE C, Jackson, MS, 39216
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467889790 | Central Mississippi Sitter Service Inc | Organization | Respite Care | Jackson, MS |
| 1255857173 | Lauren Armstrong | Individual | Family Nurse Practitioner | Jackson, MS |
Verify this record
Cross-check NPI 1710231576 against the authoritative CMS record: view Clinton Wellness Center LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Clinton Wellness Center LLC?
Who is the authorized official for Clinton Wellness Center LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-01.