NPIMap

Organization Active NPI

Mark Simpson, PC

Doing business as The Wellness Clinic

  • Family Medicine Physician
  • Hixson, TN
National Provider Identifier
1821365651
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19467 Issued in TN
Legal business name
MARK SIMPSON, PC
Doing business as
The Wellness Clinic
Practice address
4513 Hixson Pike
Suite 102
Hixson, TN 37343-5039
Phone
(423) 298-7071
Fax
(423) 877-7901
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Mark Thomas Simpson, M.D.NPI 1407837891
Title
Owner
Phone
(423) 298-7071

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 19467 TN Primary

Addresses

Primary practice location

4513 Hixson Pike
Suite 102
Hixson, TN 37343-5039

Mailing address

4513 Hixson Pike
Suite 102
Hixson, TN 37343-5039

Other identifiers 1

IdentifierTypeStateIssuer
1513553MedicaidTN

Other names 1

  • The Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4513 Hixson Pike
Ste 102
Hixson, TN 37343
Phone (423) 298-7071

Practitioners & affiliated clinicians

Practitioners 2

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": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1821365651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE",
            "address_2": "SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "fax_number": "423-877-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 HIXSON PIKE",
            "address_2": "SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435039",
            "telephone_number": "423-298-7071",
            "fax_number": "423-877-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SIMPSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-298-7071",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "19467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513553",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.