NPIMap

Organization Active NPI

Radix Wellness, LLC

Doing business as Sundara Wellness

  • Medical Specialty Clinic/Center
  • Memphis, TN
National Provider Identifier
1497244909
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RADIX WELLNESS, LLC
Doing business as
Sundara Wellness
Practice address
1314 Peabody Ave
Memphis, TN 38104-3500
Phone
(901) 828-8019
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Mrs. Melissa Padgett, CPM
Title
Partner
Phone
(901) 828-8019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1314 Peabody Ave
Memphis, TN 38104-3500

Mailing address

4716 W Commerce St
Hernando, MS 38632-8436
Phone (901) 828-8019

Other names 1

  • Sundara Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Radix Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1314 Peabody Ave
Memphis, TN 38104
Phone (901) 278-8404

Practitioners & affiliated clinicians

Practitioners 9

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": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1497244909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 W COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328436",
            "telephone_number": "901-828-8019",
            "fax_number": "662-449-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PEABODY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043500",
            "telephone_number": "901-828-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIX WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "901-828-8019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundara Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.