Community Wellness Medical Associates a PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMUNITY WELLNESS MEDICAL ASSOCIATES A PC

Doing business as

Community Wellness Medical Associates, P.S.C.
Community Wellness Medical Associates, a Professional Corporation

Practice address

304 S 4TH St Ste 301
Danville, KY 40422-2081

Phone

(650) 722-2611

NPI assigned

Mar 2, 2022

Last updated

Jul 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yolanda C Celi

Title

Co-Secretary, Cao

Phone

(650) 722-2611

Specialties & licenses 3

Addresses

Other names 2

• Community Wellness Medical Associates, P.S.C. Doing business as
• Community Wellness Medical Associates, a Professional Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in WV, KY, FL, NC, TN, NV, TX, IA, MO, IN, SC, MI, GA, IL, DC, WI, OH17 enrollments

Enrollment records 17

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Community Wellness Medical Associates a PC

  • Family Medicine Physician
  • Danville, KY
  • NPI 1952995615

  0042697088

  Same PAC ID

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tonya Carlette Eubanks, APRN

  • Family Nurse Practitioner
  • Brentwood, TN
  • NPI 1689133571

  KY, Single Specialty

  Medicare reassignment Care Compare group NPD
• Fletcher M. M. Schubert, APRN-NP

  • Family Nurse Practitioner
  • Tonganoxie, KS
  • NPI 1083162903

  DC, FL, IA, MO, OH, TX

  Medicare reassignment Care Compare group
• Melissa Adams, APRN

  • Family Nurse Practitioner
  • Owingsville, KY
  • NPI 1740681766

  FL, NC

  Medicare reassignment NPD
• Michael Tinamisan Catausan, MD

  • Family Medicine Physician
  • Danville, KY
  • NPI 1932326071

  DC, FL, GA, IA, IL, IN, MI, MO, NC, NV, OH, SC, TN, TX, WI, WV

  Medicare reassignment NPD
• Christine Blackburn, FNP-C

  • Family Nurse Practitioner
  • University Place, WA
  • NPI 1548445505

  DC, FL, WV

  Medicare reassignment NPD
• Jawanner Winding Davis, FNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1770877623

  TN

  Medicare reassignment NPD
• Jennifer Fix, FNP-C

  • Family Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1578097143

  NV

  Medicare reassignment NPD
• Angela Renee Mason, NP-C

  • Family Nurse Practitioner
  • Rockwall, TX
  • NPI 1093262461
  Medicare reassignment NPD
• Sharon Sims, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1689299612
  Medicare reassignment NPD
• Dina Marie Whiteaker, APRN

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1578841490

  DC, FL, IA, IL, KY, MO, NC, NV, TN, TX

  Medicare reassignment
• Edward Delos Trino, FNP

  • Family Nurse Practitioner
  • Atascadero, CA
  • NPI 1346773306
  NPD
• Brian Michael Grimm, MD

  • Family Medicine Physician
  • Palmdale, CA
  • NPI 1871540815
  NPD

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1972250694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S BASCOM AVE # 383",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S 4TH ST STE 301",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222081",
            "telephone_number": "650-722-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS MEDICAL ASSOCIATES A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "CELI",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-SECRETARY, CAO",
        "authorized_official_telephone_number": "650-722-2611"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Wellness Medical Associates, P.S.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Wellness Medical Associates, P.S.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Wellness Medical Associates, a Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Commonwealth Neurology & Sleep Center (Commonwealth Neuroscience Center)
• Commonwealth Psychiatry, PLLC
• Commonwealth Testing
• Commonwealth Urology Danville
• Community Wellness Medical Associates a PC
• Cortney Renee Conklin, APRN
• Melissa K Conner, MD
• Amanda Mae Cooley, APRN
• Copper Creek Midwifery & Family Practice, LLC
• Jessica M Cornelius, PAC

• Family Medicine Physician in Danville, KY
• Providers in Danville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.