Organization Active NPI

Overby Wellness LLC

  • Clinical Social Worker
  • Prattville, AL
National Provider Identifier
1689421919
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OVERBY WELLNESS LLC
Practice address
1650 Buena Vista Blvd
Prattville, AL 36067-6622
Phone
(334) 498-4968
NPI assigned
May 3, 2024
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Gregga Gidley
Title
Owner
Phone
(334) 498-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1650 Buena Vista Blvd
Prattville, AL 36067-6622

Mailing address

1650 Buena Vista Blvd
Prattville, AL 36067-6622

National Provider Directory

National Provider Directory

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": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1689421919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BUENA VISTA BLVD",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360676622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BUENA VISTA BLVD",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360676622",
            "telephone_number": "334-498-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERBY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "GIDLEY",
        "authorized_official_first_name": "GREGGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-498-4968"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.