Indianola Wellness Clinic, LLC
NPI 1508393000 · Primary Care Clinic/Center · Indianola, MS
Indianola Wellness Clinic, LLC is a Primary Care Clinic/Center organization in Indianola, MS (NPI 1508393000).
Provider details
- NPI number
- 1508393000
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kajuandra Chandler, Manager/Owner(662) 303-3743
- License
- 901379 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-05-15
- Last updated
- 2018-06-16
Frequently asked questions
- What is Indianola Wellness Clinic, LLC's NPI number?
- Indianola Wellness Clinic, LLC's National Provider Identifier (NPI) is 1508393000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indianola Wellness Clinic, LLC?
- Indianola Wellness Clinic, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Indianola Wellness Clinic, LLC located?
- Indianola Wellness Clinic, LLC's practice location on file with NPPES is 131 Main St, Indianola, MS 38751-2849.
- What is Indianola Wellness Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Indianola Wellness Clinic, LLC is (662) 303-3743.
- Who is the authorized official for Indianola Wellness Clinic, LLC?
- The authorized official listed on Indianola Wellness Clinic, LLC's NPPES record is Kajuandra Chandler, Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indianola Wellness Clinic, LLC's NPI active?
- Yes — Indianola Wellness Clinic, LLC's NPI (1508393000) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.