Organization Active NPI

Current Wellness Clinic LLC

  • Primary Care Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1104651066
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CURRENT WELLNESS CLINIC LLC
Practice address
117 E Georgia St
Tallahassee, FL 32301-1105
Phone
(850) 284-3801
Fax
(850) 204-4069
NPI assigned
Sep 2, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Travis Williams, APRNNPI 1912443847
Title
Owner
Phone
(208) 251-9985

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

117 E Georgia St
Tallahassee, FL 32301-1105

Mailing address

74 Calusa Way
Crawfordville, FL 32327-1168
Phone (850) 284-3801

National Provider Directory

National Provider Directory

Locations

117 E Georgia St
Tallahassee, FL 32301
Phone (850) 284-3801

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1104651066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CALUSA WAY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271168",
            "telephone_number": "850-284-3801",
            "fax_number": "850-204-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E GEORGIA ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011105",
            "telephone_number": "850-284-3801",
            "fax_number": "850-204-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURRENT WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-251-9985",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.