WELLNESS AND WEIGHT LOSS NPI 1073882700

NPI Information

  • NPI: 1073882700
  • Provider Name: WELLNESS AND WEIGHT LOSS
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 01D2155585
  • Address: 4735 NORREL DR
    SUITE 109
    TRUSSVILLE, AL
    ZIP 35173
  • Phone: (205) 655-9355

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NPI Details

WELLNESS AND WEIGHT LOSS is a general practice in Trussville, AL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WELLNESS AND WEIGHT LOSS NPI is 1073882700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4735 NORREL DR
SUITE 109
TRUSSVILLE, AL
ZIP 35173-603
Phone: (205) 655-9355
Fax: (205) 655-9354

The provider's authorized official is Derek Watkins .
The authorized official title is Office Manager and has the following contact phone number (205) 655-9355.

The CLIA number assigned to this NPI record is 01D2155585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2011 and was last updated on 12/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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