Wellvana Essential Care, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

WELLVANA ESSENTIAL CARE, LLC

Practice address

40 Burton Hills Blvd Ste 100
Nashville, TN 37215-6291

Phone

(248) 943-1132

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Jay Meyers

Title

Ceo

Phone

(773) 562-6740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1598334690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156291",
            "telephone_number": "248-943-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLVANA ESSENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-562-6740"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn S. Wells, MD
• Robert Allan Wells, MD
• Wellvana Alabama LLC
• Wellvana Arizona LLC
• Wellvana Colorado LLC
• Wellvana Florida LLC
• Wellvana Georgia LLC
• Wellvana Health
• Wellvana Louisiana LLC
• Wellvana Maryland, LLC

• Preferred Provider Organization in Nashville, TN
• Providers in Nashville, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.