Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pivotal Health and Wellness Clinic, LLC

Organization Family Medicine Physician · NPI 1700533890

Pivotal Health and Wellness Clinic, LLC provides Family Medicine Physician services in Pearl, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Cross Park Dr Ste A
Pearl, MS 39208-9016
Phone: (601) 397-6731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1700533890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grenisha Young — Nurse Practitioner · (601) 397-6731
NPI enumeratedMarch 8, 2022
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025
Mailing addressPo Box 4244, Brandon, MS 39047-4244

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