Eternity Wellness 22, LLC
NPI 1639836000 · Psychiatric/Mental Health Nurse Practitioner · Biloxi, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eternity Wellness 22, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Biloxi, MS (NPI 1639836000).
Provider details
- NPI number
- 1639836000
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tawana Raymond, Nurse Practitioner, Owner(228) 641-2449
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- 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
4 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
- 2021-11-19
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Frequently asked questions
- What is Eternity Wellness 22, LLC's NPI number?
- Eternity Wellness 22, LLC's National Provider Identifier (NPI) is 1639836000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eternity Wellness 22, LLC?
- Eternity Wellness 22, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Eternity Wellness 22, LLC located?
- Eternity Wellness 22, LLC's practice location on file with NPPES is 1636 Popps Ferry Rd Ste 234, Biloxi, MS 39532-2279.
- What is Eternity Wellness 22, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eternity Wellness 22, LLC is (888) 777-2671.
- Does Eternity Wellness 22, LLC accept Medicare?
- Eternity Wellness 22, 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 Eternity Wellness 22, LLC?
- The authorized official listed on Eternity Wellness 22, LLC's NPPES record is Tawana Raymond, Nurse Practitioner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eternity Wellness 22, LLC's NPI active?
- Yes — Eternity Wellness 22, LLC's NPI (1639836000) is active in the NPPES registry as of the last update on 2024-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.