Total Wellness Lifestyle Medicine

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

TOTAL WELLNESS LIFESTYLE MEDICINE

Practice address

30 Sandstone Cir
Jackson, TN 38305-2073

Phone

(731) 217-6313

NPI assigned

Feb 13, 2024

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shavetta Conner, MDNPI 1235283623

Title

Physician

Phone

(731) 217-6313

Specialties & licenses 1

Addresses

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.

• Shavetta D Conner, MD

  • Public Health & General Preventive Medicine Physician
  • Jackson, TN
  • NPI 1235283623
  NPD Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1174387880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SANDSTONE CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052073",
            "telephone_number": "731-217-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SANDSTONE CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052073",
            "telephone_number": "731-217-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS LIFESTYLE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "SHAVETTA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "731-217-6313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert F Torstrick, MD
• Total Renal Care Inc (Stonegate PD Dialysis)
• Total Renal Care Inc (North Jackson Dialysis)
• Total Renal Care Inc (South Jackson Dialysis)
• Total Renal Care Inc (Carriage Dialysis)
• Jana Touton, APRN
• Tracy A Townes Bougard, M.D.
• Floyd Goza Trammell Jr., D.D.S.
• Transsouth Health Care PLLC (DDC Surgery Center)
• Stephanie Gwynn Tranum, MSW

• Public Health & General Preventive Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Public Health & General Preventive Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.