Organization Active NPI

Tennessee Health and Wellness

  • Clinic/Center
  • Cookeville, TN
National Provider Identifier
1063014363
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TENNESSEE HEALTH AND WELLNESS
Practice address
315 N Washington Ave Ste 102
Cookeville, TN 38501-2623
Phone
(931) 651-1918
Fax
(931) 651-1912
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Scotty L Kirby, DCNPI 1447340674
Title
Owner/Member
Phone
(931) 836-2532

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

315 N Washington Ave Ste 102
Cookeville, TN 38501-2623

Mailing address

315 N Washington Ave Ste 102
Cookeville, TN 38501-2623
Phone (931) 651-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210104000848 TN Part B Supplier - Clinic/Group Practice 8224441639 Receives reassigned benefits from 1 practitioner
Practice locations: Cookeville, TN
O20221130002024 TN DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 8224441639 Practice locations: Cookeville, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tennessee Health and Wellness315 N Washington Ave, Cookeville, TN 38501-2623(931) 651-1918 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Nov 9, 2020

National Provider Directory

National Provider Directory

Locations

23 N Spring St
Sparta, TN 38583
Phone (931) 836-2532

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1063014363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE STE 102",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012623",
            "telephone_number": "931-651-1918",
            "fax_number": "931-651-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE STE 102",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012623",
            "telephone_number": "931-651-1918",
            "fax_number": "931-651-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "931-836-2532",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.