OrganizationActive
Walley Clinic PA
NPI 1669463584 · Family Medicine Physician · Waynesboro, MS
Walley Clinic PA is a Family Medicine Physician organization in Waynesboro, MS (NPI 1669463584).
Provider details
- NPI number
- 1669463584
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eletha Jenkins, Ceo(601) 735-2401
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
920 Matthew Dr
Ste a
Waynesboro, MS 39367-2567
Phone: (601) 735-2401
Fax: (601) 735-5205
Street-level locationGet directions
Mailing address
920 Matthew Dr
Waynesboro, MS 39367-2567
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2008-02-27
Frequently asked questions
- What is Walley Clinic PA's NPI number?
- Walley Clinic PA's National Provider Identifier (NPI) is 1669463584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walley Clinic PA?
- Walley Clinic PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Walley Clinic PA located?
- Walley Clinic PA's practice location on file with NPPES is 920 Matthew Dr, Waynesboro, MS 39367-2567.
- What is Walley Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Walley Clinic PA is (601) 735-2401.
- Who is the authorized official for Walley Clinic PA?
- The authorized official listed on Walley Clinic PA's NPPES record is Eletha Jenkins, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walley Clinic PA's NPI active?
- Yes — Walley Clinic PA's NPI (1669463584) is active in the NPPES registry as of the last update on 2008-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.