Genesis Health And Wellness Group
LBN: Genesis Health And Wellness Group
Genesis Health And Wellness Group is an health care organization with primary practice located at 607 W Due West Ave Suite 105, Madison TN 37115-4431. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Genesis Health And Wellness Group can be contacted via phone (615) 891-4903, or through Puckett, Allision Patrice via phone (615) 585-9305.
Contact Information
Primary practice address
607 W Due West Ave Suite 105
Madison TN 37115-4431
Phone: (615) 891-4903
Fax: (615) 864-8671
Website:
Authorized official contact:
Name: Puckett, Allision Patrice Doctor of Medicine (MD)
Phone: (615) 585-9305
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Pain | 261QP3300X |
Profile Details
| NPI number | 1770830804 |
|---|---|
| LBN Legal business name | Genesis Health And Wellness Group |
| DBA Doing business as | |
| Authorized official | Puckett, Allision Patrice Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2012 |
| Last updated | May 16th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770830804 | NPPES |
| Tennessee | MEDICAID | 1530899 |
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