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WELLNESS ONE MEMPHIS PC NPI 1124497730


NPI Information

NPI: 1124497730
Provider Name: WELLNESS ONE MEMPHIS PC
Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 44D2022894

Address:
6100 PRIMACY PKWY STE 112
MEMPHIS, TN
ZIP 38119
Phone: (901) 682-5335
Get Directions

WELLNESS ONE MEMPHIS PC is a sports medicine family medicine in Memphis, TN. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. WELLNESS ONE MEMPHIS PC NPI is 1124497730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6100 PRIMACY PKWY STE 112
MEMPHIS, TN
ZIP 38119-705
Phone: (901) 682-5335
Fax: (901) 682-5440

The provider's authorized official is Russell D Radican .
The authorized official title is President and has the following contact phone number (901) 682-5335.

The CLIA number assigned to this NPI record is 44D2022894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2015 and was last updated on 9/24/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC1171TENNESSEENo
2363LA2100XNurse PractitionerAcute CareAPN17897TENNESSEENo
3363LF0000XNurse PractitionerFamilyAPN2519467TENNESSEENo
4207QS0010XFamily MedicineSports MedicineMD430532TEXASYes

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: 4/28/2024

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