GATEWAY WELLNESS CLINIC NPI 1881567568

NPI Information

  • NPI: 1881567568
  • Provider Name: GATEWAY WELLNESS CLINIC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1016 MISSION 66
    VICKSBURG, MS
    ZIP 39183
  • Phone: (601) 218-0969

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NPI Details

GATEWAY WELLNESS CLINIC is a primary care clinic center in Vicksburg, MS. GATEWAY WELLNESS CLINIC NPI is 1881567568. The provider is registered as an organization entity type.

The provider's business location address is:

1016 MISSION 66
VICKSBURG, MS
ZIP 39183-752
Phone: (601) 218-0969

The provider's authorized official is Kimberly Carson .
The authorized official title is Owner and has the following contact phone number (601) 218-0969.

The enumeration date for this NPI number is 9/29/2025 and was last updated on 9/29/2025.

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
1261QP2300XClinic/CenterPrimary CareYes

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

NPI Synchronization or Removal

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