WELLNESS FAMILY MEDICINE, PC
NPI 1194484600
Clinic/Center - Health Service in Redding, CA

Active since December 12, 2021CLIA 05D2275412 · Microscopy
760 CYPRESS AVE STE 300, REDDING, CA 96001(530) 768-9490(530) 653-2150 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2023, May 11, 2022, May 5, 2022 and 1 more (4 updates tracked since 2021).

About Wellness Family Medicine, Pc NPPES

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

WELLNESS FAMILY MEDICINE, PC (NPI 1194484600), doing business as Covid Antibody Treatment Clinic, is a healthcare organization registered as a health service in Redding, California and active in the NPI registry since December 2021. The organization holds a CLIA Microscopy certificate valid through January 19, 2027 and lists Gretchen Melburg, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1194484600
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameWELLNESS FAMILY MEDICINE, PC
Location Address760 CYPRESS AVE STE 300Redding, CA 96001-2743
Mailing Address1674 El Capitan DrRedding, CA 96001-2974 · (530) 768-9490
Fax(530) 653-2150
Organization SubpartNo
Authorized OfficialGretchen MelburgChief Financial Officer · (530) 768-9490
Enumeration DateDecember 12, 2021
Last NPPES UpdateFebruary 16, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
✔ NPI 1194484600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
760 CYPRESS AVE STE 300, Redding, CA 96001

Other Names 1

Former Legal Business NameCovid Antibody Treatment Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellness Family Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellness Family Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1790066686
760 CYPRESS AVE STE 110
Redding, CA 96001
(530) 768-9490
✔ PECOSSame address

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) 05D2275412

Wellness Family Medicine, PC · Redding, CA
Active · expires Jan 19, 2027
CLIA Number05D2275412
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorPaul Davis
Laboratory Phone(530) 768-9490
Laboratory LocationWellness Family Medicine, PC760 Cypress Ave Suite 303, Redding, CA 96001
CLIA data matches this NPI record on: 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 Wellness Family Medicine, PC's NPI number?

The NPI number for Wellness Family Medicine, PC is 1194484600. It was assigned to this organization in the NPPES registry on December 12, 2021. The provider was formerly known as Covid Antibody Treatment Clinic.

Where is Wellness Family Medicine, PC located?

Wellness Family Medicine, PC is located at 760 Cypress Ave Ste 300, Redding, CA 96001. The listed phone number is (530) 768-9490.

What is Wellness Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Wellness Family Medicine, PC enrolled in Medicare?

Yes. Wellness Family Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Family Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wellness Family Medicine, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellness Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2275412) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness Family Medicine, PC was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.