OrganizationActive
Vitality Wellness Clinic LLC
NPI 1760741698 · Specialist · D'Iberville, MS
Vitality Wellness Clinic LLC is a Specialist organization in D'Iberville, MS (NPI 1760741698).
Provider details
- NPI number
- 1760741698
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jason Crowder, Owner(251) 591-9769
- License
- 20041 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3200 Mallett Rd
D-3
D'Iberville, MS 39540-9305
Phone: (228) 392-0900
Fax: (228) 392-0902
Street-level locationGet directions
Mailing address
3200 Mallett Rd
D'Iberville, MS 39540-9305
Other names (DBA / former)
- Doing business as
- Vitality Medical Clinic and Spa
Registry dates
- Enumerated
- 2012-05-12
- Last updated
- 2012-08-28
Frequently asked questions
- What is Vitality Wellness Clinic LLC's NPI number?
- Vitality Wellness Clinic LLC's National Provider Identifier (NPI) is 1760741698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Wellness Clinic LLC?
- Vitality Wellness Clinic LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Vitality Wellness Clinic LLC located?
- Vitality Wellness Clinic LLC's practice location on file with NPPES is 3200 Mallett Rd, D'Iberville, MS 39540-9305.
- What is Vitality Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Wellness Clinic LLC is (228) 392-0900.
- Who is the authorized official for Vitality Wellness Clinic LLC?
- The authorized official listed on Vitality Wellness Clinic LLC's NPPES record is Jason Crowder, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Wellness Clinic LLC's NPI active?
- Yes — Vitality Wellness Clinic LLC's NPI (1760741698) is active in the NPPES registry as of the last update on 2012-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.