Nashville Wellness Clinic & Medi-Spa PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31627 Issued in NC

Legal business name

NASHVILLE WELLNESS CLINIC & MEDI-SPA PA

Practice address

117 W Church St
Nashville, NC 27856-1327

Phone

(252) 459-5544

Fax

(252) 459-9300

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Donald Alan Ribeiro, M.D.

Title

Owner

Phone

(252) 747-2089

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Gary R Glisson, R PH

  • Pharmacist
  • Nashville, NC
  • NPI 1033111968
  NPD (past)
• Barbara Adams Overman, BS PHARM, RPH

  • Pharmacist
  • Nashville, NC
  • NPI 1659560340
  NPD (past)

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1508293192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W CHURCH ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561327",
            "telephone_number": "252-459-5544",
            "fax_number": "252-459-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W CHURCH ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561327",
            "telephone_number": "252-459-5544",
            "fax_number": "252-459-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHVILLE WELLNESS CLINIC & MEDI-SPA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "RIBEIRO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-747-2089",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nash County Department of Social Services
• Nash County Health Department
• Nash-Rocky Mt. Schools
• Nashville Chiropractic, Inc
• Nashville Opco, LLC
• NC Pharmacy Group, LLC
• NC Pharmacy Group, LLC
• Brianna Marie Nhem
• North Carolina Correction Enterprises Optical
• North Carolina CVS Pharmacy LLC

• Family Medicine Physician in Nashville, NC
• Providers in Nashville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.