Active NPI
Wellness Evaluation Services, Inc
- General Practice Physician
- Memphis, TN
National Provider Identifier
1497064653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15498
- Legal business name
- WELLNESS EVALUATION SERVICES, INC
- Practice address
- 1061 W Rex Rd
Memphis, TN 38119-3819 - Phone
- (901) 818-2168
- Fax
- (901) 682-9998
- NPI assigned
- Oct 5, 2010
- Last updated
- Dec 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry L Scruggs, M.D.
- Title
- Owner
- Phone
- (901) 818-2168
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15498 | TN | Primary |
Addresses
Primary practice location
1061 W Rex Rd
Memphis, TN 38119-3819
Mailing address
1061 W Rex Rd
Memphis, TN 38119-3819
Phone (901) 818-2168
National Provider Directory
National Provider DirectoryLocations
1061 W Rex Rd
Memphis, TN 38119
Phone (901) 685-3640
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1639332349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1497064653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 W REX RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193819",
"telephone_number": "901-818-2168",
"fax_number": "901-682-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 W REX RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193819",
"telephone_number": "901-818-2168",
"fax_number": "901-682-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS EVALUATION SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-05",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "SCRUGGS",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-818-2168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "TN",
"license": "15498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Wellgraph Gen Corp
- Wellgraph Gen Corp
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis North)
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis South)
- Wellness Ambulatory Care Inc. (BHG Medical Services Memphis Mid-Town)
- Wellness First Inc
- Wellness One Memphis PC
- Christopher Louis Wells, BA
- Daniel Wells, M.D.
- Danielle Wells, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.