OVATION WOMENS WELLNESS LLC NPI 1548688310

NPI Information

NPI: 1548688310
Provider Name: OVATION WOMENS WELLNESS LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Specialization: Gynecology
Entity Type: Organization
Doing Business As: OVATION WOMENS WELLNESS LLC
CLIA Number: 25D2086327
Address: 111 COLONY CROSSING WAY STE 230
MADISON, MS
ZIP 39110
Phone: (601) 326-6401

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NPI Details

OVATION WOMENS WELLNESS LLC is a gynecology obstetrics gynecology in Madison, MS. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee OVATION WOMENS WELLNESS LLC NPI is 1548688310. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ovation Womens Wellness Llc.

The provider's business location address is:

111 COLONY CROSSING WAY STE 230
MADISON, MS
ZIP 39110-833
Phone: (601) 326-6401
Fax: (601) 326-6405

The provider's authorized official is Karla Ann Ford .
The authorized official title is Administrative And Hr Manager and has the following contact phone number (601) 714-1031.

The CLIA number assigned to this NPI record is 25D2086327 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2014 and was last updated on 8/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VF0040X	Obstetrics & Gynecology	Urogynecology and Reconstructive Pelvic Surgery			No
2	207VG0400X	Obstetrics & Gynecology	Gynecology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00573730	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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