Wellness Clinic and Family Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD024799 Issued in TN

Legal business name

WELLNESS CLINIC AND FAMILY CARE PLLC

Practice address

21 Meridian Springs Dr
Jackson, TN 38301-5900

Phone

(731) 256-0526

Fax

(731) 256-1720

NPI assigned

Aug 14, 2008

Last updated

Nov 26, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Erika Hazard CreechNPI 1477550283

Title

Member

Phone

(731) 983-2328

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erika Hazard Creech, MD

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1477550283
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1013163690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ENVILLE RD",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383403945",
            "telephone_number": "731-983-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MERIDIAN SPRINGS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015900",
            "telephone_number": "731-256-0526",
            "fax_number": "731-256-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CLINIC AND FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "HAZARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "731-983-2328",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD024799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Alan Welch, D.M.D.
• Edward Hunter Welles, M.D.
• Wellfit Medicine and Nutrition Jackson, PLLC
• Wellfit Nutrition, PLLC
• Wellness Ambulatory Care Inc. (BHG Medical Services Jackson)
• Pamela A Wells, M.D.
• Ruth Lyn Wells, PHARM.D.
• Christopher Welsch, M.D.
• Mark Anthony Wendolowski, MD
• Jay M Wentworth, P.T.

• Primary Care Clinic/Center in Jackson, TN
• Providers in Jackson, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.