NPIMap

Organization Active NPI

Wellness Solutions, LLC

  • Chiropractor
  • Hilton Head Island, SC
National Provider Identifier
1982936985
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003 Issued in SC
Legal business name
WELLNESS SOLUTIONS, LLC
Practice address
15 Hospital Center CMNS Ste 200a
Hilton Head Island, SC 29926-2840
Phone
(843) 686-9355
Fax
(843) 686-9354
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
David Washack, D.C.NPI 1578555926
Title
Owner
Phone
(843) 686-9355

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2003 SC Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2837 SC
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2565 SC

Addresses

Primary practice location

15 Hospital Center CMNS Ste 200a
Hilton Head Island, SC 29926-2840

Mailing address

200 Central Ave
Suite B
Hilton Head Island, SC 29926-1635
Phone (843) 686-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000326 SC Part B Supplier - Clinic/Group Practice 0648309906 Receives reassigned benefits from 1 practitioner
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Locations

200 Central Ave
Ste B
Hilton Head Island, SC 29926
Phone (843) 686-9355

Practitioners & affiliated clinicians

Practitioners 4

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1982936985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261635",
            "telephone_number": "843-686-9355",
            "fax_number": "843-686-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL CENTER CMNS STE 200A",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262840",
            "telephone_number": "843-686-9355",
            "fax_number": "843-686-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "WASHACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-686-9355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2003",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2837",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.