Pivotal Health and Wellness Clinic, LLC
NPI 1700533890 · Family Medicine Physician · Pearl, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pivotal Health and Wellness Clinic, LLC is a Family Medicine Physician organization in Pearl, MS (NPI 1700533890).
Provider details
- NPI number
- 1700533890
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grenisha Young, Nurse Practitioner(601) 397-6731
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
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
- 2022-03-08
- Last updated
- 2025-12-26
- Certified
- 2025-12-26
Frequently asked questions
- What is Pivotal Health and Wellness Clinic, LLC's NPI number?
- Pivotal Health and Wellness Clinic, LLC's National Provider Identifier (NPI) is 1700533890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pivotal Health and Wellness Clinic, LLC?
- Pivotal Health and Wellness Clinic, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pivotal Health and Wellness Clinic, LLC located?
- Pivotal Health and Wellness Clinic, LLC's practice location on file with NPPES is 110 Cross Park Dr Ste a, Pearl, MS 39208-9016.
- What is Pivotal Health and Wellness Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pivotal Health and Wellness Clinic, LLC is (601) 397-6731.
- Does Pivotal Health and Wellness Clinic, LLC accept Medicare?
- Pivotal Health and Wellness 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 Pivotal Health and Wellness Clinic, LLC?
- The authorized official listed on Pivotal Health and Wellness Clinic, LLC's NPPES record is Grenisha Young, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pivotal Health and Wellness Clinic, LLC's NPI active?
- Yes — Pivotal Health and Wellness Clinic, LLC's NPI (1700533890) is active in the NPPES registry as of the last update on 2025-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.