Organization Active NPI

Medical Wellness Clinic

  • Primary Care Nurse Practitioner
  • Marion, NC
National Provider Identifier
1528525359
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MEDICAL WELLNESS CLINIC
Practice address
44 Depot St Ste 102
Marion, NC 28752-8920
Phone
(828) 559-2858
Fax
(828) 559-2857
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Mrs. Alison Louise Sprouse-Tucker, FNP-CNPI 1437119971
Title
Provider
Phone
(828) 559-2858

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

44 Depot St Ste 102
Marion, NC 28752-8920

Mailing address

44 Depot St BLDG 2
Marion, NC 28752-8920
Phone (828) 559-2858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230923000196 NC Part B Supplier - Clinic/Group Practice 2567701576 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, NC

National Provider Directory

National Provider Directory

Locations

44 Depot St
Ste 102
Marion, NC 28752
Phone (828) 559-2858

44 Depot St
Bldg 2
Marion, NC 28752

79 Academy St
Ste D
Marion, NC 28752

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1528525359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DEPOT ST BLDG 2",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528920",
            "telephone_number": "828-559-2858",
            "fax_number": "828-559-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DEPOT ST STE 102",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287528920",
            "telephone_number": "828-559-2858",
            "fax_number": "828-559-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "SPROUSE-TUCKER",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "828-559-2858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.