TOTAL HEALTH & WELLNESS OBGYN LLC
NPI 1164855672
Obstetrics & Gynecology in Miamisburg, OH

Active since August 20, 2013CLIA 36D2015001 · Microscopy
4000 MIAMISBURG CENTERVILLE RD, SUITE 104, MIAMISBURG, OH 45342(937) 384-8780(937) 384-4876 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Total Health & Wellness Obgyn Llc NPPES

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

TOTAL HEALTH & WELLNESS OBGYN LLC (NPI 1164855672) is a healthcare organization registered as an obstetrics & gynecology in Miamisburg, Ohio and active in the NPI registry since August 2013. The organization holds a CLIA Microscopy certificate valid through December 6, 2026 and lists Rosalind Joy Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164855672
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTOTAL HEALTH & WELLNESS OBGYN LLC
Location Address4000 MIAMISBURG CENTERVILLE RD, SUITE 104Miamisburg, OH 45342-7615
Mailing Address4000 Miamisburg Centerville Rd, Suite 104Miamisburg, OH 45342-7615 · (937) 384-8780 · Fax (937) 384-4876
Fax(937) 384-4876
Organization SubpartNo
Authorized OfficialRosalind Joy JacksonOwner · (937) 384-8780
Enumeration DateAugust 20, 2013
Last NPPES UpdateMarch 25, 2014
✔ NPI 1164855672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35071571
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4000 MIAMISBURG CENTERVILLE RD, Miamisburg, OH 45342

Other Identifiers 2

Medicare UPINH246970OH
Medicaid2238322OH

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Total Health & Wellness Obgyn Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Total Health & Wellness Obgyn LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1609864255
4000 MIAMISBURG CENTERVILLE RD
Miamisburg, OH 45342
(937) 247-6757
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1134125123
4000 MIAMISBURG CENTERVILLE RD STE. 200
Miamisburg, OH 45342
(937) 293-5200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881404275
4000 MIAMISBURG CENTERVILLE RD STE 104
Miamisburg, OH 45342
(937) 384-8780
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255633137
21 E STATE ST STE 200
Columbus, OH 43215
(888) 731-8994
✔ PECOS70 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 36D2015001

Total Health & Wellness Obgyn LLC · Miamisburg, OH
Active · expires Dec 6, 2026
CLIA Number36D2015001
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorRosalind Jackson
Laboratory Phone(937) 384-8780
Laboratory LocationTotal Health & Wellness Obgyn LLC4000 Miamisburg-Centerville Rd Ste 104, Miamisburg, OH 45342
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Total Health & Wellness Obgyn LLC's NPI number?

The NPI number for Total Health & Wellness Obgyn LLC is 1164855672. It was assigned to this organization in the NPPES registry on August 20, 2013.

Where is Total Health & Wellness Obgyn LLC located?

Total Health & Wellness Obgyn LLC is located at 4000 Miamisburg Centerville Rd Suite 104, Miamisburg, OH 45342. The listed phone number is (937) 384-8780.

What is Total Health & Wellness Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Total Health & Wellness Obgyn LLC enrolled in Medicare?

Yes. Total Health & Wellness Obgyn LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Total Health & Wellness Obgyn LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Total Health & Wellness Obgyn LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Obstetrics/Gynecology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Total Health & Wellness Obgyn LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2015001) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Total Health & Wellness Obgyn LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Total Health & Wellness Obgyn LLC 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 Total Health & Wellness Obgyn LLC was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.