EMBRACE HEALTH AND WELLNESS (NPI# 1588120695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588120695 |
| Entity Type | Organization |
| Organization Name | EMBRACE HEALTH AND WELLNESS |
| Practice Address |
607 W Due West Ave Madison TN 37115-4431 |
| Mailing Address |
612 Aideen Pl Madison TN 37115-4283 |
| Practice Telephone | 6159205851 |
| Mailing Telephone | 6154035468 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | MR. KEIFUS MALONE (MANAGED MEMBER) |
| Authorized Official Telephone | 6154035468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
607 W DUE WEST AVE |
| City | MADISON |
| State | TN |
| Zip Code | 37115-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912977430 | Marcus Min | Internal Medicine | 607 W Due West Ave, Suite 122, Madison, TN 37115-4431 | 2006-01-26 |
| 1942709217 | Jenna Mayfield Morton | Physician Assistant | 607 W Due West Ave, Madison, TN 37115-4431 | 2018-02-01 |
| 1295273043 | Malones Group LLC | Clinical Nurse Specialist | 607 W Due West Ave, Suite 105, Madison, TN 37115-4431 | 2017-02-01 |
| 1902262298 | Orlando Lamar Jones | Nurse Practitioner | 607 W Due West Ave, Madison, TN 37115-4431 | 2016-01-04 |
| 1821429531 | Jackson Family Dental,pllc | Dentist | 607 W Due West Ave, Suit 110, Madison, TN 37115-4431 | 2013-12-05 |
| 1770830804 | Genesis Health and Wellness Group | Clinic/Center | 607 W Due West Ave, Suite 105, Madison, TN 37115-4431 | 2012-08-08 |
| 1851672299 | Carolyn Denise Jackson | Nurse Practitioner | 607 W Due West Ave, Madison, TN 37115-4431 | 2011-08-30 |
| 1750516449 | Choice Family Healthcare Pllc | Physician Assistant | 607 W Due West Ave, Suite # 105, Madison, TN 37115-4431 | 2009-05-25 |
| 1346483104 | Advanced Sleep Diagnostics, Inc. | Clinic/Center | 607 W Due West Ave, Madison, TN 37115-4431 | 2009-04-09 |
| 1942484001 | L. Edwin Rice, Jr., Md, Pllc | Ophthalmology | 607 W Due West Ave, Ste. 115, Madison, TN 37115-4431 | 2007-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1669918843 | All About You Healthcare LLC | Clinic/Center | 342 E Old Hickory Blvd, Madison, TN 37115-3937 | 2017-01-12 |
| 1548713332 | Wellness for Life | Clinic/Center | 630 Broadway St Ste 2a, Madison, IN 47250-3310 | 2016-07-27 |
| 1871863050 | Patrick J Oneill M.d., P.C. | Clinic/Center | 104 Spenryn Dr, Madison, AL 35758-1890 | 2012-01-05 |
| 1003191867 | Gluckstadt Special Care Clinic | Clinic/Center | 1716 Highway 51 Ste M, Madison, MS 39110-5020 | 2011-10-12 |
| 1104071836 | W Kevin Britt M.d. LLC | Clinic/Center | 1801 Clifty Drive, Madison, IN 47250-1627 | 2008-11-21 |
| 1366057986 | Avalon Family Care LLC | Clinic/Center | 540 Hughes Rd Ste 4, Madison, AL 35758-8959 | 2020-09-10 |
| 1447868757 | Advent Health LLC | Clinic/Center | 1230 Slaughter Rd Ste C, Madison, AL 35758-5901 | 2020-07-22 |
| Find all providers in MADISON | ||||
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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.