Organization Active NPI

True Wellness Medical LLC.

  • Multi-Specialty Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1417470501
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRUE WELLNESS MEDICAL LLC.
Practice address
6102 Shallowford Rd Ste 103
Chattanooga, TN 37421-1684
Phone
(423) 475-6438
NPI assigned
Jul 20, 2017
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Brandi Vatt
Title
Director of Administration
Phone
(423) 206-9947

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
General Practice Physician 208D00000X MD0000055440 TN

Addresses

Primary practice location

6102 Shallowford Rd Ste 103
Chattanooga, TN 37421-1684

Mailing address

6102 Shallowford Rd Ste 103
Chattanooga, TN 37421-1684
Phone (423) 475-6438

Other identifiers 1

IdentifierTypeStateIssuer
1578126249OtherTNNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210721003956 TN Part B Supplier - Clinic/Group Practice 8729481262 Receives reassigned benefits from 5 practitioners
Practice locations: Chattanooga, TN
O20250602000064 TN DME Supplier - Physician - General Practice 8729481262 Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

6102 Shallowford Rd
Chattanooga, TN 37421

Practitioners & affiliated clinicians

Practitioners 6

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": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1417470501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211684",
            "telephone_number": "423-475-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 SHALLOWFORD RD STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211684",
            "telephone_number": "423-475-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE WELLNESS MEDICAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "VATT",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "423-206-9947"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000055440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578126249",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.