Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pivotal Health and Wellness Clinic, LLC

Organization Family Medicine Physician · NPI 1700533890

Pivotal Health and Wellness Clinic, LLC is a Family Medicine Physician 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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