Active NPI
Wellness One Memphis PC
- Sports Medicine (Family Medicine) Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- WELLNESS ONE MEMPHIS PC
- Practice address
- 6100 Primacy Pkwy Ste 112
Memphis, TN 38119-0705 - Phone
- (901) 682-5335
- Fax
- (901) 682-5440
- NPI assigned
- Sep 24, 2015
- Last updated
- Jul 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell D Radican, DC
- Title
- President
- Phone
- (901) 682-5335
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
6100 Primacy Pkwy Ste 112
Memphis, TN 38119-0705
Mailing address
6100 Primacy Pkwy Ste 112
Memphis, TN 38119-0705
Phone (901) 682-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2022894 | Wellness One Memphis, PC | Certificate of waiver | Apr 11, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 16
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.
-
- Family Medicine Physician
- Germantown, TN
- NPI 1548476252
-
- Adult Health Nurse Practitioner
- Memphis, TN
- NPI 1114331097
-
- Occupational Health Chiropractor
- Memphis, TN
- NPI 1528172368
-
- Family Nurse Practitioner
- Scotts Hill, TN
- NPI 1760739320
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1760448898
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1396760617
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1972842888
-
- Addiction Medicine (Anesthesiology) Physician
- San Antonio, TX
- NPI 1619945839
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1619970688
-
- Family Medicine Physician
- Memphis, TN
- NPI 1356333561
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1841526001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1124497730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 PRIMACY PKWY STE 112",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190705",
"telephone_number": "901-682-5335",
"fax_number": "901-682-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 PRIMACY PKWY STE 112",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190705",
"telephone_number": "901-682-5335",
"fax_number": "901-682-5440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS ONE MEMPHIS PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-24",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A",
"authorized_official_last_name": "RADICAN",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-682-5335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis North)
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis South)
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis Mid-Town)
- Wellness Evaluation Services, Inc
- Wellness First Inc
- Christopher Louis Wells, BA
- Daniel Wells, M.D.
- Danielle Wells, BA
- Drew Wells
- Kara Wells
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.