Wellnessconnect Healthcare and Preventive Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00013209 Issued in AL

Legal business name

WELLNESSCONNECT HEALTHCARE AND PREVENTIVE MEDICINE, LLC

Practice address

2011 Gallatin St SW
Huntsville, AL 35801-4510

Phone

(256) 907-2493

Fax

(256) 281-8134

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 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

Jackie Copeland, CPC

Title

Billing Manager/Credentialing

Phone

(256) 907-2493

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1699268672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 GALLATIN ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014510",
            "telephone_number": "256-907-2493",
            "fax_number": "256-907-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 GALLATIN ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014510",
            "telephone_number": "256-907-2493",
            "fax_number": "256-281-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSCONNECT HEALTHCARE AND PREVENTIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BILLING MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "256-907-2493",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00013209",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "MD13209",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "AL",
            "license": "MD13209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285741553",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912186032",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760437313",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Weisberg
• Welbii, LLC
• Mell Burress Welborn III, M.D.
• Holly Welch, PHYSICAL THERAPIST
• Wellness Office PC
• Abby Wells, FNP-C
• Annie M Wells, PH.D.
• Ashley Wells
• Derek Everett Wells, M.D.
• Elina Urazakova Wells, M.D.

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.