MD Wellness and Health Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101238953 Issued in VA

Legal business name

MD WELLNESS AND HEALTH CENTER

Practice address

10518 Spotsylvania Ave,
Suite 102
Fredericksburg, VA 22408

Phone

(540) 645-6400

Fax

(888) 427-4279

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Makini Shani Garrett AinsworthNPI 1215997325

Title

Ceo, Internal Medicine Physician

Phone

(540) 645-6400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

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

• Makini Shani Garrett Ainsworth, M.D.

  • Internal Medicine Physician
  • Fredericksburg, VA
  • NPI 1215997325
  Medicare reassignment Authorized official
• Mark D Carlson, MD

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1023008398
  NPD

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1154726123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10518 SPOTSYLVANIA AVE,",
            "address_2": "SUITE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-645-6400",
            "fax_number": "888-427-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10518 SPOTSYLVANIA AVE,",
            "address_2": "SUITE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-645-6400",
            "fax_number": "888-427-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD WELLNESS AND HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "MAKINI",
        "authorized_official_middle_name": "SHANI GARRETT",
        "authorized_official_title_or_position": "CEO, INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "540-645-6400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101238953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni McNeil, LCSW
• Debra Ann McPhee, LPC
• Jade A McQuay
• Eleanor McQuinn, MFT (R)
• Kacie Lauren McTaggart
• Natalie Meader
• Elizabeth Page Meador, AU.D., CCC-A
• Faye Marie Meadows, COTA/L
• Gene C Mears, DDS
• Jennifer Moore Mears

• Medical Specialty Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.