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Wellness Ambulatory Care Inc.

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Paris, TN

NPI 1629660253 · NPPES record last updated Dec 23, 2024

Key facts

NPI
1629660253
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
WELLNESS AMBULATORY CARE INC.
Practice address
2555 E Wood St
Paris, TN 38242-7990
Phone
(731) 641-4545
Fax
(731) 641-4546
NPI assigned
Feb 4, 2021
Organization subpart
No

Authorized official

Name
Jay Higham
Title
Ceo
Phone
(214) 365-6112

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 12

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

Practitioners 19

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2223208Wellness Ambulatory Care Inc
2555 East Wood St, Room #101, Paris, TN 38242		Certificate of waiverMay 4, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210120000765 TN Part B Supplier - Clinic/Group Practice 2163703901 Receives reassigned benefits from 29 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Savannah, TN; Paris, TN; Nashville, TN; Murfreesboro, TN; Memphis, TN; Knoxville, TN; Jackson, TN; Dyersburg, TN…

National Provider Directory

Tax ID family
Wellness Ambulatory Care Inc (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

2555 E Wood St
Paris, TN 38242-7990

Mailing address

5001 Spring Valley Road
Suite 600 East
Dallas, TX 75244
Phone (214) 365-6100

Other names

  • BHG Medical Services Paris Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 23, 2024.

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1629660253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382427990",
            "telephone_number": "731-641-4545",
            "fax_number": "731-641-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AMBULATORY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services Paris",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Medical Services Paris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TN

All providers in Paris, TN · Substance Use Disorder Rehabilitation Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.