Gardendale Pain and Wellness, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

GARDENDALE PAIN AND WELLNESS, LLC

Practice address

2215 Decatur Hwy Ste 101
Gardendale, AL 35071-2384

Phone

(205) 608-8199

Fax

(205) 608-8195

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Ricky B Tubbs, DONPI 1184800971

Title

Owner

Phone

(256) 649-0416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Practitioners 11

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

• Blake Alan Hand, CRNP

  • Family Nurse Practitioner
  • Gardendale, AL
  • NPI 1215496708

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Jennifer Ryan Holcombe, CRNP

  • Nurse Practitioner
  • Cropwell, AL
  • NPI 1265918163
  Medicare reassignment Care Compare group NPD
• Lori Elizabeth Johnston

  • Family Nurse Practitioner
  • Gardendale, AL
  • NPI 1033658588
  Medicare reassignment Care Compare group NPD
• Caitlin Richelle Mensie Jones, RN

  • Family Nurse Practitioner
  • Cullman, AL
  • NPI 1780145672

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kristi McKeever Lunceford, CRNP

  • Family Medicine Physician
  • Gardendale, AL
  • NPI 1295211795
  Medicare reassignment Care Compare group NPD
• Hali Graham McDonald, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Gardendale, AL
  • NPI 1104310721
  Medicare reassignment Care Compare group NPD
• David Mulkey, MD

  • Pain Medicine Physician
  • Cullman, AL
  • NPI 1396206314
  Medicare reassignment Care Compare group NPD
• Kristie L Quattlebaum, CRNP

  • Gerontology Nurse Practitioner
  • Cullman, AL
  • NPI 1609231885
  Medicare reassignment Care Compare group NPD
• Ricky Brian Tubbs, DO

  • Internal Medicine Physician
  • Gardendale, AL
  • NPI 1184800971

  Anesthesiology

  Medicare reassignment NPD Authorized official
• John F Valente, M.D.

  • Surgery Physician
  • Anniston, AL
  • NPI 1134192412
  Medicare reassignment Care Compare group NPD
• Jessica Marshman

  • Physician Assistant
  • Pell City, AL
  • NPI 1639626534
  Medicare reassignment

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1316459746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 DECATUR HWY STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712384",
            "telephone_number": "205-608-8199",
            "fax_number": "205-608-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 DECATUR HWY STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712384",
            "telephone_number": "205-608-8199",
            "fax_number": "205-608-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENDALE PAIN AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-649-0416",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardendale Dental
• Gardendale Family Dentistry
• Gardendale Health Mart Pharmacy LLC (Mills Pharmacy at Gardendale)
• Gardendale Medical Center
• Gardendale Oral Surgery, P.C.
• Gardendale Pharmacy LLC
• Gardendale Physician Associates, P.C.
• Gardendale Surgical Associates
• Gardendale Surgical Associates, LLC
• Currant Garrett, MA, CCC-SLP

• Pain Medicine (Anesthesiology) Physician in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.