Organization Active NPI

Greenup Health and Wellness

  • Primary Care Clinic/Center
  • Greenup, KY
National Provider Identifier
1245126424
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GREENUP HEALTH AND WELLNESS
Practice address
1621 Ashland Rd Ste 1
Greenup, KY 41144-1269
Phone
(606) 314-0266
NPI assigned
Jun 16, 2025
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Jon H Walz, DONPI 1871544817
Title
Owner
Phone
(606) 314-0266

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 1

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

Addresses

Primary practice location

1621 Ashland Rd Ste 1
Greenup, KY 41144-1269

Mailing address

1621 Ashland Rd Ste 1
Greenup, KY 41144-1269
Phone (606) 314-0266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121000752 KY Part B Supplier - Clinic/Group Practice 6305323445 Receives reassigned benefits from 1 practitioner
Practice locations: Greenup, KY

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
18D2325335Greenup Health and Wellness1621 Ashland Rd Suite 1, Greenup, KY 41144Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

1621 Ashland Rd
Ste 1
Greenup, KY 41144
Phone (606) 314-0266

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": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1245126424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 ASHLAND RD STE 1",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441269",
            "telephone_number": "606-314-0266",
            "fax_number": "800-263-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 ASHLAND RD STE 1",
            "city": "GREENUP",
            "state": "KY",
            "postal_code": "411441269",
            "telephone_number": "606-314-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENUP HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-314-0266",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenup, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.

Verify at the official NPI Registry.