Organization provider

WOUND CARE MEDICAL MISSISSIPPI LLC

Internal Medicine Physician Nurse Practitioner Medicare enrolled

WOUND CARE MEDICAL MISSISSIPPI LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629870035, based in Madison, MS. The organization lists 2 taxonomy classifications, with Nurse Practitioner recorded as primary.

Getting there

The practice address on file is ATTN: WOUND CARE MEDICAL MISSISSIPPI LLC 109 EXECUTIVE DRIVE, SUITE 3, Madison, MS 39110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

ATTN: WOUND CARE MEDICAL MISSISSIPPI LLC 109 EXECUTIVE DRIVE, SUITE 3, Madison, MS 39110 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7911405386
Enrollment ID
O20250813004420

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nurse Practitioner covers

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. NUCC Health Care Provider Taxonomy, code 363L00000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician
363L00000X Nurse Practitioner primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1629870035 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 26, 2025
Last updatedApr 18, 2025
StatusActive
Practice address ATTN: WOUND CARE MEDICAL MISSISSIPPI LLC
109 EXECUTIVE DRIVE, SUITE 3
Madison, MS 39110
(737) 703-8191
Fax (512) 243-6916
Mailing address 8161 HIGHWAY 100 STE 264
Nashville, TN 37221
Other names Wound Care Medical Mississippi Llc Professional Name
This record was updated on Apr 18, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1629870035 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 8 7 0 0 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 7 7 0 0 6

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629870035?
NPI 1629870035 is the National Provider Identifier assigned to WOUND CARE MEDICAL MISSISSIPPI LLC in Madison, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nurse Practitioner cover?
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional…
How do I contact WOUND CARE MEDICAL MISSISSIPPI LLC?
The phone number on file with NPPES is (737) 703-8191, last updated Apr 18, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does WOUND CARE MEDICAL MISSISSIPPI LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629870035 a valid number?
Yes. 1629870035 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.