WELLVANA HEALTH (NPI# 1023618378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023618378 |
| Entity Type | Organization |
| Organization Name | WELLVANA HEALTH |
| Practice Address |
40 Burton Hills Blvd Ste 100 Nashville TN 37215-6291 |
| Practice Telephone | 6152931372 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | MICHAEL PLATEK (CHIEF STRATEGY & DEVELOPMENT OFFICE) |
| Authorized Official Telephone | 6152931372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
40 BURTON HILLS BLVD STE 100 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37215-6291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679816 | Wellvana South Carolina LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-04 |
| 1851992945 | Wellvana Georgia LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-04 |
| 1871194373 | Wellvana Mississippi LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-03 |
| 1942801444 | Wellvana Alabama LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-03 |
| 1245831700 | Wellvana Louisiana LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-02 |
| 1063013522 | Wellvana Tennessee LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-02 |
| 1528669157 | Aspa Wellvana LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-02 |
| 1962002790 | Ga Sc Integration Partners LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-10-30 |
| 1750981585 | Wellvana San Antonio LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-10-30 |
| 1114527900 | Wellvana Florida LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508049 | Clayton C. Cummings Dds PC | Dentist | 2405 Crestmoor Road, Nashville, TN 37215 | 2018-08-20 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1477031755 | Wolf Counseling, LLC | Psychologist | 2000 Glen Echo Rd Ste 207, Nashville, TN 37215 | 2018-07-30 |
| 1972022036 | Anna Jane Richards | Registered Nurse | 2506 Sharondale Dr, Nashville, TN 37215 | 2017-09-11 |
| 1003203696 | Deborah Mccaghren Taber | Nurse Practitioner | 3910 Woodmont Boulevard, Nashville, TN 37215 | 2015-04-21 |
| 1245639731 | Kelsie Renee Menard | Speech-Language Pathologist | 4206 Stammer Place, Nashville, TN 37215 | 2014-08-20 |
| 1851709117 | Marci Diane Levy | Physician Assistant | 2000 Richard Jones Rd Ste 220, Nashville, TN 37215 | 2014-07-30 |
| 1811301534 | Cari Riker | Dietitian, Registered | 4205 Hillsboro Pike Ste 314, Nashville, TN 37215 | 2014-06-20 |
| 1295152916 | Mindy Maurine Thorp | Registered Nurse | 2000 Glen Echo Road, Suite 111, Nashville, TN 37215 | 2014-03-19 |
| 1245663152 | Joshua Gropper | Dentist | 3824 Bedford Ave, Nashville, TN 37215 | 2013-08-14 |
| Find all providers in zip 37215 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124618 | Department of Intellectual and Developmental Disabilities, State of Tn | Exclusive Provider Organization | 315 Deaderick St Fl 8, Nashville, TN 37238-3000 | 2020-05-05 |
| 1649519935 | Cost Containment Solutions | Exclusive Provider Organization | 2308 Donna Hill Ct, Nashville, TN 37214-1508 | 2013-02-06 |
| 1033461298 | Community Hope Agency, Inc. | Exclusive Provider Organization | 3915 Mallard Dr, Nashville, TN 37218-2007 | 2012-10-11 |
| 1164790523 | Equity Health, LLC | Exclusive Provider Organization | 924 Caldwell Ln, Nashville, TN 37204-4016 | 2011-12-13 |
| 1508036146 | Johnny L. Bowman | Exclusive Provider Organization | 410 N Main St Ste 3, Nashville, AR 71852-2000 | 2008-03-11 |
| 1629679816 | Wellvana South Carolina LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-04 |
| 1851992945 | Wellvana Georgia LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-04 |
| 1871194373 | Wellvana Mississippi LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-03 |
| 1942801444 | Wellvana Alabama LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-03 |
| 1245831700 | Wellvana Louisiana LLC | Exclusive Provider Organization | 40 Burton Hills Blvd Ste 100, Nashville, TN 37215-6291 | 2020-11-02 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.