Clinton Wellness Center LLC
NPI 1710231576 · Family Medicine Physician · Jackson, MS
Clinton Wellness Center LLC is a Family Medicine Physician organization in Jackson, MS (NPI 1710231576).
Provider details
- NPI number
- 1710231576
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shinita Dudley, Physician(601) 714-8180
- License
- 18239 (MS)
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
13 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)
- Doing business as
- Icare
Registry dates
- Enumerated
- 2012-11-01
- Last updated
- 2012-11-01
Frequently asked questions
- What is Clinton Wellness Center LLC's NPI number?
- Clinton Wellness Center LLC's National Provider Identifier (NPI) is 1710231576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinton Wellness Center LLC?
- Clinton Wellness Center LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clinton Wellness Center LLC located?
- Clinton Wellness Center LLC's practice location on file with NPPES is 514 E Woodrow Wilson Ave, Jackson, MS 39216-4538.
- What is Clinton Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Clinton Wellness Center LLC is (601) 714-8180.
- Who is the authorized official for Clinton Wellness Center LLC?
- The authorized official listed on Clinton Wellness Center LLC's NPPES record is Shinita Dudley, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinton Wellness Center LLC's NPI active?
- Yes — Clinton Wellness Center LLC's NPI (1710231576) is active in the NPPES registry as of the last update on 2012-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.