Organization Active NPI

Neely Total Health & Wellness LLC

  • Family Medicine Physician
  • Desoto, TX
National Provider Identifier
1861149593
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEELY TOTAL HEALTH & WELLNESS LLC
Practice address
1229 E Pleasant Run Rd Ste 220
Desoto, TX 75115-4214
Phone
(972) 707-0113
Fax
(972) 249-2057
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Authorized official

Name
Mrs. Charnita Patrice Neely, NURSE PRACTITIONERNPI 1508243841
Title
Owner
Phone
(972) 217-5620

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 Primary

Addresses

Primary practice location

1229 E Pleasant Run Rd Ste 220
Desoto, TX 75115-4214

Mailing address

1229 E Pleasant Run Rd Ste 220
Desoto, TX 75115-4214
Phone (972) 707-0113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220729002430 TX Part B Supplier - Clinic/Group Practice 8426430992 Receives reassigned benefits from 1 practitioner
Practice locations: Desoto, TX

National Provider Directory

National Provider Directory

Locations

1229 E Pleasant Run Rd
Ste 220
Desoto, TX 75115
Phone (214) 794-6844

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": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763251200000",
    "number": "1861149593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD STE 220",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154214",
            "telephone_number": "972-707-0113",
            "fax_number": "972-249-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD STE 220",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154214",
            "telephone_number": "972-707-0113",
            "fax_number": "972-249-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELY TOTAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "CHARNITA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-217-5620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; 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.