Organization Active NPI

Thomas Family Health and Wellness Clinic, LLC

  • Primary Care Clinic/Center
  • Daphne, AL
National Provider Identifier
1750799524
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
29849 Issued in AL
Legal business name
THOMAS FAMILY HEALTH AND WELLNESS CLINIC, LLC
Practice address
28119 N Main St
Unit B
Daphne, AL 36526-7037
Phone
(251) 621-0640
Fax
(251) 621-0680
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Vanessa Thomas, M.D.
Title
Officer/Owner
Phone
(251) 621-0640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 29849 AL Primary

Addresses

Primary practice location

28119 N Main St
Unit B
Daphne, AL 36526-7037

Mailing address

28119 N Main St
Unit B
Daphne, AL 36526-7037
Phone (251) 621-0640

National Provider Directory

National Provider Directory

Locations

28119 N Main St
Ste B
Daphne, AL 36526
Phone (251) 214-0040

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1750799524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28119 N MAIN ST",
            "address_2": "UNIT B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267037",
            "telephone_number": "251-621-0640",
            "fax_number": "251-621-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28119 N MAIN ST",
            "address_2": "UNIT B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267037",
            "telephone_number": "251-621-0640",
            "fax_number": "251-621-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY HEALTH AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICER/OWNER",
        "authorized_official_telephone_number": "251-621-0640",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "29849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.