NPIMap

Organization Active NPI

MD Wellness Clinic

  • Recovery Care Clinic/Center
  • Cullman, AL
National Provider Identifier
1972334332
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
MD WELLNESS CLINIC
Practice address
2021 Al Highway 157 Ste a
Cullman, AL 35058-0687
Phone
(256) 841-1704
Fax
(256) 841-1563
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mrs. Ashley Campbell Drake, CRNPNPI 1831562321
Title
Co-Owner/Manager
Phone
(256) 841-1704

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
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

2021 Al Highway 157 Ste a
Cullman, AL 35058-0687

Mailing address

2021 Al Highway 157 Ste a
Cullman, AL 35058-0687
Phone (256) 841-1704

National Provider Directory

National Provider Directory

Locations

2021 AL Highway 157
#A
Cullman, AL 35058
Phone (256) 841-1704

Practitioners & affiliated clinicians

Practitioners 1

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": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1972334332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 AL HIGHWAY 157 STE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580687",
            "telephone_number": "256-841-1704",
            "fax_number": "256-841-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 AL HIGHWAY 157 STE A",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580687",
            "telephone_number": "256-841-1704",
            "fax_number": "256-841-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "256-841-1704",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.