Phoenix Health and Wellness

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PHOENIX HEALTH AND WELLNESS

Practice address

1505 Woodlawn Ave Ste a
Dyersburg, TN 38024-3134

Phone

(731) 478-6064

Fax

(731) 478-6067

NPI assigned

Sep 18, 2023

Last updated

Jan 20, 2026By 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

Jennifer McFarland, LCSWNPI 1912114281

Title

Owner

Phone

(731) 414-3450

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740068162. Details of each certification follow.

• CCN 888939 Rural health clinic · Active · Details

Rural health clinic certification: CCN 888939

Legal name

PHOENIX HEALTH AND WELLNESS

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jun 3, 2025

Last certification

Jun 3, 2025

Ownership / control type

1A

Organization structure

LLCProprietary

Enrollment address

1505 Woodlawn Ave
Ste a
Dyersburg, TN 38024-3134

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jennifer E McFarland, LCSW

  • Clinical Social Worker
  • Humboldt, TN
  • NPI 1912114281

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 3

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.

• Jennifer E McFarland, LCSW

  • Clinical Social Worker
  • Humboldt, TN
  • NPI 1912114281
  Medicare reassignment Care Compare group NPD Authorized official
• Tammy Javellana, F.N.P

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1013112077
  Medicare reassignment Care Compare group NPD
• Michelle Burks, APRN

  • Nurse Practitioner
  • Blytheville, AR
  • NPI 1669850384

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1740068162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WOODLAWN AVE STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243134",
            "telephone_number": "731-414-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WOODLAWN AVE STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243134",
            "telephone_number": "731-478-6064",
            "fax_number": "731-478-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-414-3450",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates of West Tennessee PLLC
• Pediatric Associates, P.C.
• Aaron Pepito, PHARMD
• Ann Jannette R Pepito, PT
• Nerio Gomez Pepito, PT
• Physical Therapy of Dyersburg PC
• Jesse Marie Pitcher
• Brien R. Polk, DDS
• Powell Transportation Services
• Judy A Powell, CRNA

• Rural Health Clinic/Center in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.