NPIMap

Organization Active NPI

Health and Wellness Group, PLLC

  • Chiropractor
  • Alexandria, VA
National Provider Identifier
1164562302
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556180 Issued in VA
Legal business name
HEALTH AND WELLNESS GROUP, PLLC
Practice address
2616 Sherwood Hall LN
Suite 101
Alexandria, VA 22306
Phone
(703) 619-1002
Fax
(703) 619-1340
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Thomas Campbell, D.C.NPI 1205996220
Title
Owner
Phone
(703) 619-1002

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104556180 VA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104000759 VA

Addresses

Primary practice location

2616 Sherwood Hall LN
Suite 101
Alexandria, VA 22306

Mailing address

2616 Sherwood Hall LN
Suite 101
Alexandria, VA 22306-3100
Phone (703) 619-1002

Other identifiers 2

IdentifierTypeStateIssuer
F629OtherVAPIN NUMER CARE FIRST BCBS
183033OtherVAPIN NUMBER ANTHEM BCBS

Other names 1

  • Campbell Chiropractic Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000725 DC Part B Supplier - Clinic/Group Practice 3678555448 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

8305 Richmond Hwy
Ste 12A
Alexandria, VA 22309
Phone (703) 619-1002

2616 Sherwood Hall Ln
Ste 101
Alexandria, VA 22306
Phone (703) 619-1002

Practitioners & affiliated clinicians

Practitioners 3

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1164562302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-619-1002",
            "fax_number": "703-619-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22306",
            "telephone_number": "703-619-1002",
            "fax_number": "703-619-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-619-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556180",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMER CARE FIRST BCBS",
            "identifier": "F629",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER ANTHEM BCBS",
            "identifier": "183033",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Chiropractic Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.