Organization Active NPI

Wellness Medical Clinic, PLLC

  • General Practice Physician
  • Tallahassee, FL
National Provider Identifier
1700473816
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WELLNESS MEDICAL CLINIC, PLLC
Practice address
1820 Riggins Rd Ste 1
Tallahassee, FL 32308-7834
Phone
(850) 545-9376
Fax
(850) 999-2930
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Dr. Arasi Thangavelu, MDNPI 1548255177
Title
Physician
Phone
(850) 545-9376

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1820 Riggins Rd Ste 1
Tallahassee, FL 32308-7834

Mailing address

1400 Village Square Blvd Ste 3-258
Tallahassee, FL 32312-1250
Phone (850) 545-9376

National Provider Directory

National Provider Directory

Locations

1820 Riggins Rd
Ste 1
Tallahassee, FL 32308
Phone (850) 545-9376

1400 Village Square Blvd
Ste 3258
Tallahassee, FL 32312
Phone (850) 545-9376

Practitioners & affiliated clinicians

Practitioners 1

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": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1700473816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE SQUARE BLVD STE 3-258",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121250",
            "telephone_number": "850-545-9376",
            "fax_number": "850-999-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIGGINS RD STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087834",
            "telephone_number": "850-545-9376",
            "fax_number": "850-999-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "THANGAVELU",
        "authorized_official_first_name": "ARASI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-545-9376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.