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

Wellington Provider Group PC

Organization Family Medicine Physician · NPI 1699487694

Wellington Provider Group PC is a Family Medicine Physician in Ridgeland, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Phone: (859) 518-8817
Fax: (859) 201-1084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1699487694
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellington Provider Group PC
Authorized official Mariela Bravo — Credentialing Team Lead · (859) 518-8117
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022
Mailing address535 Wellington Way Ste 330, Lexington, KY 40503-1331

Other providers in Ridgeland