WESLEY PHYSICIAN SERVICES LLC NPI 1629986336

NPI Information

  • NPI: 1629986336
  • Provider Name: WESLEY PHYSICIAN SERVICES LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 25D2105928
  • Address: 5808 US HIGHWAY 11
    PURVIS, MS
    ZIP 39475
  • Phone: (601) 348-5460

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NPI Details

WESLEY PHYSICIAN SERVICES LLC is a rural health clinic center in Purvis, MS. WESLEY PHYSICIAN SERVICES LLC NPI is 1629986336. The provider is registered as an organization entity type.

The provider's business location address is:

5808 US HIGHWAY 11
PURVIS, MS
ZIP 39475-052
Phone: (601) 348-5460
Fax: (601) 348-1432

The provider's authorized official is Kristy Music .
The authorized official title is Director Provider Enrollment and has the following contact phone number (615) 465-7377.

The CLIA number assigned to this NPI record is 25D2105928 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2026 and was last updated on 9/1/2026.

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
1261QR1300XClinic/CenterRural HealthYes

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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