WELLNESSCONNECT HEALTHCARE AND PREVENTIVE MEDICINE, LLC


Address: 2011 Gallatin St Sw, Huntsville, AL 35801-4510
Phone: 2569072493

WELLNESSCONNECT HEALTHCARE AND PREVENTIVE MEDICINE, LLC (NPI# 1699268672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699268672
Entity Type Organization
Organization Name WELLNESSCONNECT HEALTHCARE AND PREVENTIVE MEDICINE, LLC
Practice Address 2011 Gallatin St Sw
Huntsville
AL 35801-4510
Practice Telephone 2569072493
Practice Fax Number 2562818134
Mailing Telephone 2569072493
Mailing Fax Number 2569071726
Enumeration Date 2018-06-13
Last Update Date 2018-06-13
Authorized Official Name JACKIE COPELAND (BILLING MANAGER/CREDENTIALING)
Authorized Official Telephone 2569072493
Authorized Official Credential CPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
MD13209 AL Allopathic & Osteopathic Physicians
N 2083B0002X Preventive Medicine
Specialization: Obesity Medicine
MD13209 AL Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 00013209 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL NPI 1760437313 01
AL NPI 1285741553 01
AL NPI 1912186032 01

Office Location

Street Address 2011 GALLATIN ST SW
City HUNTSVILLE
State AL
Zip Code 35801-4510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740238112 Eric R Beck Physical Medicine & Rehabilitation 2011 Gallatin St Sw, Huntsville, AL 35801-4510 2006-05-05
1033498688 Jenny Stone Gibson Speech-Language Pathologist 2011 Gallatin St Sw, Huntsville, AL 35801-4510 2011-08-15
1215178744 Michele L Puckett Nurse Practitioner 2011 Gallatin St Sw, Huntsville, AL 35801-4510 2009-03-12
1063609386 Nancy Gay Harden Physical Therapist 2011 Gallatin St Sw, Huntsville, AL 35801-4510 2007-10-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003422742 Elena Mihaela Kruse Nurse Practitioner 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 2020-09-18
1225657661 Ashley Danielle Ford Student in an Organized Health Care Education/Training Program 301 Governors Drive Se, Huntsville, AL 35801 2020-04-15
1407417702 Sasha J White Specialist 410 Governors Dr. Sw, Huntsville, AL 35801 2019-06-26
1003472978 Gina Marie Delgado Nurse Practitioner Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 2019-05-15
1366909863 Lisa Starkey Suggs Nurse Practitioner 3500 Memorial Parkway S.w., Huntsville, AL 35801 2019-02-21
1902373277 Kelly S Fisher LLC Counselor 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 2018-10-25
1073097911 Brittani B Hamrick Psychologist 203 Eastside Sq Ste C9, Huntsville, AL 35801 2018-09-17
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1184100661 Regroup Psychological Services Psychologist 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 2018-07-17
1366968398 Bennett Brent Smith Physician Assistant 825 Adams St. Se, Huntsville, AL 35801 2017-08-22
Find all providers in zip 35801

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043810195 Tempus Primary Care Family Medicine 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 2020-10-28
1780237412 Inomedic Health Applications, Inc. Family Medicine Nasa/ Msfc Medical Center, As10, Bldg 4249, Huntsville, AL 35812 2019-07-22
1982126587 Happi Health Family Medicine 2597 Sparkman Dr Nw, Huntsville, AL 35810-3868 2017-07-14
1619499209 Happi Health Family Medicine 4040 Memorial Pkwy Sw Ste K, Huntsville, AL 35802-4364 2017-07-14
1760916282 Daniel Englert Family Medicine 101 Bob Wallace Ave Sw Ste D, Huntsville, AL 35801-3843 2017-04-12
1891242962 Advantage Health Solutions,llc Family Medicine 4820 University Dr Ste 35, Huntsville, AL 35816 2016-09-07
1396291027 Advantage Health Solutions,llc Family Medicine 4820 University Dr Ste 18, Huntsville, AL 35816 2016-09-01
1396192423 Jacob Wilson Family Medicine 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 2016-05-18
1386006112 Jenna Okerblom Family Medicine 100 Washington St Ne Ste 102, Huntsville, AL 35801-5052 2016-03-22
1811337942 Richard Edwin Rice Family Medicine 1409 Deborah Dr Se, Huntsville, AL 35801-1493 2013-07-03
Find all providers in HUNTSVILLE

Competitor

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City HUNTSVILLE
Zip Code 35801

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Dataset Information

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.

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