The Wellness Center of Tuscaloosa

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1138 Issued in AL

Legal business name

THE WELLNESS CENTER OF TUSCALOOSA

Practice address

1040 Lurleen B Wallace Blvd S
Suite a
Tuscaloosa, AL 35401-2219

Phone

(205) 345-3452

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Donald W. Rhodes Jr.NPI 1104982008

Title

President

Phone

(205) 345-3452

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Dr. Wayne Rhodes, Chiropractor Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

The Wellness Center of Tuscaloosa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Wellness Center of Tuscaloosa

  • Chiropractor
  • Tuscaloosa, AL
  • NPI 1134391501
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Wayne Rhodes Jr., DC, PHD

  • Chiropractor
  • Tuscaloosa, AL
  • NPI 1104982008

  AL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1831495894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LURLEEN B WALLACE BLVD S",
            "address_2": "SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012219",
            "telephone_number": "205-345-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 LURLEEN B WALLACE BLVD S",
            "address_2": "SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012219",
            "telephone_number": "205-345-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS CENTER OF TUSCALOOSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-345-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS NPI AS SOLE PROVIDER",
            "identifier": "1104982008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS AL PROVIDER",
            "identifier": "71047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000071047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T68553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Wayne Rhodes, Chiropractor",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Tuscaloosa, AL
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.