Provider Demographics
NPI:1811888027
Name:THRIVE MEDICAL & WELLNESS, PLLC
Entity type:Organization
Organization Name:THRIVE MEDICAL & WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:DEWAYNE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:662-721-0050
Mailing Address - Street 1:281 WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38614-9770
Mailing Address - Country:US
Mailing Address - Phone:662-721-0050
Mailing Address - Fax:
Practice Address - Street 1:1800 CHERYL ST
Practice Address - Street 2:
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-7219
Practice Address - Country:US
Practice Address - Phone:662-721-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty