Organization Active NPI

Legacy Recovery and Wellness PC

  • Addiction Medicine (Internal Medicine) Physician
  • Hendersonville, NC
National Provider Identifier
1447925987
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
LEGACY RECOVERY AND WELLNESS PC
Practice address
840 Fleming St Ste 1
Hendersonville, NC 28791-3541
Phone
(828) 490-4444
Fax
(828) 698-7077
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Lisa K Wheeler, PANPI 1003877275
Title
Owner/Physician
Phone
(828) 490-4444

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0401X Primary
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

840 Fleming St Ste 1
Hendersonville, NC 28791-3541

Mailing address

840 Fleming St Ste 1
Hendersonville, NC 28791-3541
Phone (828) 490-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220401000668 NC Part B Supplier - Clinic/Group Practice 0941696868 Receives reassigned benefits from 1 practitioner
Practice locations: Hendersonville, NC

National Provider Directory

National Provider Directory

Locations

558 Fleming St
Ste A
Hendersonville, NC 28739
Phone (828) 484-1801

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1447925987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 FLEMING ST STE 1",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913541",
            "telephone_number": "828-490-4444",
            "fax_number": "828-698-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 FLEMING ST STE 1",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913541",
            "telephone_number": "828-490-4444",
            "fax_number": "828-698-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RECOVERY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "828-490-4444",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.