Meridian Wellness Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1524 Issued in TN

Legal business name

MERIDIAN WELLNESS CENTER, PLLC

Practice address

1531 Hunt Club Blvd
Suite 306
Gallatin, TN 37066-6095

Phone

(615) 989-7037

Fax

(615) 989-7038

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Yvonne Pacwa, DC

Title

Owner

Phone

(931) 338-2077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1891118121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 HUNT CLUB BLVD",
            "address_2": "SUITE 306",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666095",
            "telephone_number": "615-989-7037",
            "fax_number": "615-989-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 HUNT CLUB BLVD",
            "address_2": "SUITE 306",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666095",
            "telephone_number": "615-989-7037",
            "fax_number": "615-989-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "PACWA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-338-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1841200300",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Melick, CRNP
• Wendy M Mell, NP
• Miguel A Mendieta, RD,LDN
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• Mark Mendoza, D.C.
• Rodney Brandon Mewbourne, M.D.
• Lindsey M Meyer, DPT
• Michael D. Jessee (Homebound Solutions)
• Michael E. Green
• Katharine Michie, MS OTR/L

• Chiropractor in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.