Desoto Family Wellness Center, LLC
NPI 1376143024 · Multi-Specialty Clinic/Center · Southaven, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Desoto Family Wellness Center, LLC is a Multi-Specialty Clinic/Center organization in Southaven, MS (NPI 1376143024).
Provider details
- NPI number
- 1376143024
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Ollar, Office Manager(662) 892-2885
Specialties & taxonomies
Ambulatory Health Care Facilities
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-10-30
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Frequently asked questions
- What is Desoto Family Wellness Center, LLC's NPI number?
- Desoto Family Wellness Center, LLC's National Provider Identifier (NPI) is 1376143024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desoto Family Wellness Center, LLC?
- Desoto Family Wellness Center, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Desoto Family Wellness Center, LLC located?
- Desoto Family Wellness Center, LLC's practice location on file with NPPES is 3495 Cobblestone Blvd S, Southaven, MS 38672-7075.
- What is Desoto Family Wellness Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Desoto Family Wellness Center, LLC is (662) 892-2885.
- Does Desoto Family Wellness Center, LLC accept Medicare?
- Desoto Family Wellness Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Desoto Family Wellness Center, LLC?
- The authorized official listed on Desoto Family Wellness Center, LLC's NPPES record is Amy Ollar, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desoto Family Wellness Center, LLC's NPI active?
- Yes — Desoto Family Wellness Center, LLC's NPI (1376143024) is active in the NPPES registry as of the last update on 2023-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.