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WELLNESS ONE MEMPHIS PC
NPI 1124497730
Family Medicine - Sports Medicine in Memphis, TN

Active since September 24, 2015CLIA 44D2022894 · Waiver
6100 PRIMACY PKWY STE 112, MEMPHIS, TN 38119(901) 682-5335(901) 682-5440 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellness One Memphis Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS ONE MEMPHIS PC (NPI 1124497730) is a healthcare organization registered as a sports medicine in Memphis, Tennessee and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Russell D Radican, President, as its authorized official.

NPPES Registry Identity

NPI1124497730
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameWELLNESS ONE MEMPHIS PC
Location Address6100 PRIMACY PKWY STE 112Memphis, TN 38119-0705
Mailing Address6100 Primacy Pkwy Ste 112Memphis, TN 38119-0705 · (901) 682-5335 · Fax (901) 682-5440
Phone(901) 682-5335
Fax(901) 682-5440
Organization SubpartNo
Authorized OfficialRussell D RadicanPresident · (901) 682-5335
Enumeration DateSeptember 24, 2015
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1124497730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
6100 PRIMACY PKWY STE 112, Memphis, TN 38119
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2022894

Wellness One Memphis, PC · Memphis, TN
Active · expires Apr 11, 2027
CLIA Number44D2022894
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorRussell D. Radican
Laboratory Phone(901) 682-5335
Laboratory LocationWellness One Memphis, PC6100 Primacy Pkwy Ste 112, Memphis, TN 38119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKIE LYNN PORTER NP
Nurse Practitioner (Family)
6100 PRIMACY PKWY STE 112
MEMPHIS, TN 38119
Shelby County (901) 682-5335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness One Memphis PC's NPI number?

The NPI number for Wellness One Memphis PC is 1124497730. It was assigned to this organization in the NPPES registry on September 24, 2015.

Where is Wellness One Memphis PC located?

Wellness One Memphis PC is located at 6100 Primacy Pkwy Ste 112, Memphis, TN 38119. The listed phone number is (901) 682-5335.

What is Wellness One Memphis PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Wellness One Memphis PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2022894) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellness One Memphis PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Wellness One Memphis PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wellness One Memphis PC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.