Healthcare Provider Details

I. General information

NPI: 1780560649
Provider Name (Legal Business Name): RHEMA HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 BROAD ST
COLUMBIA MS
39429-3056
US

IV. Provider business mailing address

116 MADISON PL
HATTIESBURG MS
39402-8339
US

V. Phone/Fax

Practice location:
  • Phone: 601-466-3424
  • Fax:
Mailing address:
  • Phone: 601-466-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTA STAPLES
Title or Position: NURSE PRACTITIONER
Credential: FNP
Phone: 601-466-3424