OrganizationActive
Clinton Wellness Center LLC
NPI 1124410410 · Family Medicine Physician · Clinton, MS
Provider details
- NPI number
- 1124410410
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marco Moran, Owner(318) 791-3765
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
322 Highway 80 E
Suite D
Clinton, MS 39056-4726
Phone: (318) 791-3765
Fax: (877) 747-5326
Street-level locationGet directions
Mailing address
Po Box 59294
Jackson, MS 39284-9294
Registry dates
- Enumerated
- 2015-02-24
- Last updated
- 2015-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.