B&W Medical Solutions LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

B&W MEDICAL SOLUTIONS LLC

Doing business as

Southern Lux and Metabolic Wellness

Practice address

3332 W Main St Ste 2
Dothan, AL 36305-1019

Phone

(719) 661-6033

NPI assigned

Oct 12, 2021

Last updated

Mar 5, 2025By 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

Kelley E Blake, NP-CNPI 1770737249

Title

Nurse Practitioner

Phone

(719) 661-6033

Specialties & licenses 2

Addresses

Other names 1

• Southern Lux and Metabolic Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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 3

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.

• Kelley E Blake, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1770737249
  Medicare reassignment Care Compare group NPD Authorized official
• Jacqueline Michele O'Kane, D.O.

  • Family Medicine Physician
  • Valdosta, GA
  • NPI 1396085981

  AL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Philip Thomas Wilson, D.O.

  • Family Medicine Physician
  • Dothan, AL
  • NPI 1811256084
  Medicare reassignment NPD

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1427710896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 W MAIN ST STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051019",
            "telephone_number": "334-246-2577",
            "fax_number": "949-561-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 W MAIN ST STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051019",
            "telephone_number": "719-661-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&W MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "719-661-6033",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Lux and Metabolic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.