Organization Active NPI

Energy Employees Wellness PLLC

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1689425860
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENERGY EMPLOYEES WELLNESS PLLC
Practice address
9220 Park West Blvd Ste 1
Knoxville, TN 37923-4405
Phone
(615) 521-9097
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Paul Caudill
Title
Contract Administrator
Phone
(615) 521-9097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9220 Park West Blvd Ste 1
Knoxville, TN 37923-4405

Mailing address

401 S Mount Juliet Rd Ste 235
Mount Juliet, TN 37122-8473
Phone (615) 521-9097

National Provider Directory

National Provider Directory

Locations

401 S Mount Juliet Rd
Ste 235
Mt Juliet, TN 37122
Phone (615) 549-5919

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1689425860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MOUNT JULIET RD STE 235",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228473",
            "telephone_number": "615-521-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 PARK WEST BLVD STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234405",
            "telephone_number": "615-521-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY EMPLOYEES WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CONTRACT ADMINISTRATOR",
        "authorized_official_telephone_number": "615-521-9097"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.