Woodland Clinic LLC
NPI 1629282330 · Hospice and Palliative Medicine (Family Medicine) Physician · Woodland, MS
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Woodland Clinic LLC is a Hospice and Palliative Medicine (Family Medicine) Physician organization in Woodland, MS (NPI 1629282330).
Provider details
- NPI number
- 1629282330
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Sullivan, Owner(662) 456-0111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Former legal business name
- Woodland Clinic LLC
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2011-01-29
Frequently asked questions
- What is Woodland Clinic LLC's NPI number?
- Woodland Clinic LLC's National Provider Identifier (NPI) is 1629282330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woodland Clinic LLC?
- Woodland Clinic LLC is classified in the NPPES registry as Hospice and Palliative Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Woodland Clinic LLC located?
- Woodland Clinic LLC's practice location on file with NPPES is 120 Market St, Woodland, MS 39776-9104.
- What is Woodland Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Woodland Clinic LLC is (662) 456-0111.
- Does Woodland Clinic LLC accept Medicare?
- Woodland Clinic 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 Woodland Clinic LLC?
- The authorized official listed on Woodland Clinic LLC's NPPES record is Jerry Sullivan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woodland Clinic LLC's NPI active?
- Yes — Woodland Clinic LLC's NPI (1629282330) is active in the NPPES registry as of the last update on 2011-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.