Magnolia Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAGNOLIA WELLNESS CENTER, LLC

Doing business as

Magnolia Wellness Center,Llc

Practice address

1318 E 6TH Ave
Tallahassee, FL 32303

Phone

(850) 656-6606

Fax

(850) 878-5246

NPI assigned

Dec 11, 2017

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Zachary Raymon Verrier, DCNPI 1497194971

Title

Owner

Phone

(850) 656-6606

Specialties & licenses 3

Addresses

Other names 1

• Magnolia Wellness Center,Llc Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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.

• Zachary Raymon Verrier, D.C.

  • Chiropractor
  • Tallahassee, FL
  • NPI 1497194971
  Medicare reassignment Authorized official
• Mohamed Eltahir Abdelrahman, DC

  • Chiropractor
  • Panama City Beach, FL
  • NPI 1780462895
  Medicare reassignment
• Raymond Lucien Verrier, D.C.

  • Chiropractor
  • Tallahassee, FL
  • NPI 1033243472
  Medicare reassignment
• Allison Ruth Sobczak, PT, DPT

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1932497872

  FL

  Medicare reassignment
• Katya Marie Colston, PT, DPT

  • Physical Therapist
  • Tallahassee, FL
  • NPI 1700364452
  NPD
• Amber McCollough

  • Massage Therapist
  • Tallahassee, FL
  • NPI 1245029529
  NPD
• Mykaela Janae Wetzel, LMT

  • Massage Therapist
  • Tallahassee, FL
  • NPI 1013848506
  NPD (past)

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1619482866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 E 6TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036506",
            "telephone_number": "850-656-6606",
            "fax_number": "850-878-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 E 6TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32303",
            "telephone_number": "850-656-6606",
            "fax_number": "850-878-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "VERRIER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "RAYMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-656-6606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Wellness Center,Llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Wellness Center,Llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sitka Madsen, PH.D., CCC-SLP
• Ronald Paul Mageau, MD
• Lani Michelle Magee, LCSW
• Magnolia Pediatrics Group LLC
• Magnolia Pediatrics Group, LLC
• Amy Foster Magnuson, PHD
• Mahan Medical
• Mahan Medical Walk in (Wilton R Kane MD)
• Bailey Mahan
• Sujatha Mahesh

• Chiropractor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.