NPIMap

Organization Active NPI

Pathways to Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cordova, TN
National Provider Identifier
1043083942
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PATHWAYS TO WELLNESS LLC
Practice address
65 Germantown CT, Suite 207
Cordova, TN 38018-4258
Phone
(901) 878-3332
Fax
(901) 350-7790
NPI assigned
Nov 2, 2023
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
John Pearson Redmond, APRNNPI 1417554361
Title
Ceo
Phone
(901) 870-0258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

65 Germantown CT, Suite 207
Cordova, TN 38018-4258

Mailing address

65 Germantown CT
207
Cordova, TN 38018-4258
Phone (901) 878-3332

Other practice location 1

159 Darlene Lane
Suite 205
Clarksville, TN 37042
Phone (901) 878-3332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240126003422 TN Part B Supplier - Clinic/Group Practice 8224481148 Receives reassigned benefits from 9 practitioners
Practice locations: Clarksville, TN; Cordova, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2323169Pathways to Wellness LLC65 Germantown CT Suite 207, Cordova, TN 38018Certificate of waiverMay 1, 2027

National Provider Directory

National Provider Directory

Locations

159 Darlene Dr
Clarksville, TN 37042
Phone (901) 878-3332

159 Darlene Dr
Ste 205
Clarksville, TN 37042
Phone (901) 878-3332

65 Germantown Ct
Ste 207
Cordova, TN 38018
Phone (901) 878-3332

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1043083942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GERMANTOWN CT",
            "address_2": "207",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184258",
            "telephone_number": "901-878-3332",
            "fax_number": "901-350-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GERMANTOWN CT, SUITE 207",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184258",
            "telephone_number": "901-878-3332",
            "fax_number": "901-350-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Darlene Lane",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "37042",
            "country_code": "US",
            "telephone_number": "901-878-3332",
            "fax_number": "901-350-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAYS TO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PEARSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-870-0258",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.