Organization Active NPI

Carewell Medical, LLC

  • Primary Care Clinic/Center
  • Rogersville, TN
National Provider Identifier
1205655289
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREWELL MEDICAL, LLC
Practice address
307 S Depot St Ste D2
Rogersville, TN 37857-3329
Phone
(423) 528-1454
Fax
(844) 433-0038
NPI assigned
Oct 7, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Chelsea Bundren, FNP
Title
Owner
Phone
(828) 434-8534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

307 S Depot St Ste D2
Rogersville, TN 37857-3329

Mailing address

307 S Depot St Ste D2
Rogersville, TN 37857-3329
Phone (423) 528-1454

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2308426Carewell Medical, LLC307 South Depot St, Suite D2, Rogersville, TN 37857Certificate of waiverJul 28, 2026

National Provider Directory

National Provider Directory

Locations

307 S Depot St
Ste D2
Rogersville, TN 37857
Phone (423) 528-1454

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1205655289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S DEPOT ST STE D2",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378573329",
            "telephone_number": "423-528-1454",
            "fax_number": "844-433-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S DEPOT ST STE D2",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378573329",
            "telephone_number": "423-528-1454",
            "fax_number": "844-433-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BUNDREN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-434-8534",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.