Healing Waters Wellness Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALING WATERS WELLNESS CENTER, LLC

Practice address

9695 Lebanon Rd Ste 340
Mount Juliet, TN 37122-5541

Phone

(833) 432-5987

NPI assigned

Sep 24, 2017

Last updated

Apr 1, 2021By 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

Janet PelmoreNPI 1871615344

Title

Ceo

Phone

(833) 432-5987

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Janet C Pelmore, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Mount Juliet, TN
  • NPI 1871615344
  NPD Authorized official
• Genorris L. Crawford, LPN, LPC/MHSP

  • Professional Counselor
  • Mount Juliet, TN
  • NPI 1326624214
  NPD

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1730698622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 EDMONDSON PIKE STE 197",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 LEBANON RD STE 340",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371225541",
            "telephone_number": "833-432-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-24",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "PELMORE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-432-5987"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Hayes, RBT
• HCA Health Services of Tennessee, Inc. (TriStar Summit ER, a department of TriStar Summit Medical Center)
• HCA Health Services of Tennessee, Inc. (TriStar Summit Imaging Mt. Juliet)
• Thomas Maxwell Head, PHARMD
• Healing Hearts Inc
• Health and Wellness, Endocrinology, LLC
• Healthwise Psychiatry Partners PLLC
• Hearing Aid Solutions, Inc. (Hearing Aids by Zounds)
• Heartland Dental Care of TN, PC (Pleasant Grove Dental)
• Lorel S Hedges, MS, ANP, BC, ACHPN

• Internal Medicine Physician in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.