Organization Active NPI

Rhema Health and Wellness LLC

  • Family Medicine Physician
  • Tuskegee, AL
National Provider Identifier
1689265704
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RHEMA HEALTH AND WELLNESS LLC
Practice address
3805 W MLK Hwy
Tuskegee, AL 36083-3080
Phone
(334) 727-7050
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Deanah MaxwellNPI 1124214770
Title
Physician
Phone
(334) 727-7050

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3805 W MLK Hwy
Tuskegee, AL 36083-3080

Mailing address

3805 W MLK Hwy
Tuskegee, AL 36083-3080

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Medisys

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317000296 AL Part B Supplier - Clinic/Group Practice 0840606885 Receives reassigned benefits from 3 practitioners
Practice locations: Tuskegee, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2218411Rhema Health and Wellness, LLC3805 West MLK Hwy, Tuskegee, AL 36083Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Locations

3805 W Martin Luther King Hwy
Tuskegee, AL 36083
Phone (334) 226-1915

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1689265704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 W MLK HWY",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360833080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W MLK HWY",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360833080",
            "telephone_number": "334-727-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEMA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "DEANAH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-727-7050"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Medisys",
            "affiliation": "N",
            "endpointDescription": "EMR and billing company",
            "address_1": "3805 W Mlk Hwy",
            "city": "Tuskegee",
            "state": "AL",
            "country_code": "US",
            "postal_code": "360833080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.