Organization Active NPI

Star Wellness Clinic LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Franklin, TN
National Provider Identifier
1114724234
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
STAR WELLNESS CLINIC LLC
Practice address
101 Forrest Crossing Blvd Ste 105B
Franklin, TN 37064-5402
Phone
(865) 383-0522
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Alexander Williams
Title
Manager
Phone
(865) 383-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

101 Forrest Crossing Blvd Ste 105B
Franklin, TN 37064-5402

Mailing address

101 Forrest Crossing Blvd Ste 105B
Franklin, TN 37064-5402

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1114724234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FORREST CROSSING BLVD STE 105B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FORREST CROSSING BLVD STE 105B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645402",
            "telephone_number": "865-383-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-383-0522"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.