Integrative Health & Wellness of Henry County, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INTEGRATIVE HEALTH & WELLNESS OF HENRY COUNTY, PLLC

Practice address

212 Memorial Dr Ste B
Paris, TN 38242-5416

Phone

(731) 641-0605

Fax

(731) 641-4525

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Robert Wesley Medlin, DCNPI 1902847213

Title

Owner

Phone

(731) 363-1209

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Locations

Practitioners 3

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

• Cynthia A Eblen, APN, FNP-BC

  • Family Nurse Practitioner
  • Paris, TN
  • NPI 1861635781
  Medicare reassignment NPD
• Robert Wesley Medlin, D.C.

  • Chiropractor
  • Paris, TN
  • NPI 1902847213
  NPD Authorized official
• Jessica Millraney

  • Family Nurse Practitioner
  • Camden, TN
  • NPI 1508309766
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1467201178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MEMORIAL DR STE B",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425416",
            "telephone_number": "731-641-0605",
            "fax_number": "731-641-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MEMORIAL DR STE B",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425416",
            "telephone_number": "731-641-0605",
            "fax_number": "731-641-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH & WELLNESS OF HENRY COUNTY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-363-1209",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q094035",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Hervey Hudson, M.D.
• Karen M Hughes, LCSW
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• John Owens Jackson Jr., MD
• Suzanne Jackson
• McKenzie Jacobson, PA
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• Jeffrey B. Warren, M.D. and Associates, P.C.

• Family Nurse Practitioner in Paris, TN
• Providers in Paris, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.