SELF HEALTH AND WELLNESS CENTER, LLC
NPI 1629260831
Chiropractor in Knoxville, TN

Active since August 11, 2007
115 GRESHAM RD, KNOXVILLE, TN 37918(865) 687-7600 Get Directions Write a Review

NPPES record last updated: August 11, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Self Health And Wellness Center, Llc NPPES

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

SELF HEALTH AND WELLNESS CENTER, LLC (NPI 1629260831) is a healthcare organization registered as a chiropractor in Knoxville, Tennessee and active in the NPI registry since August 2007. The organization lists John Michael Self, Bus. Owner/chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1629260831
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSELF HEALTH AND WELLNESS CENTER, LLC
Location Address115 GRESHAM RDKnoxville, TN 37918-3209
Mailing Address115 Gresham RdKnoxville, TN 37918-3209 · (865) 687-7600
Organization SubpartNo
Authorized OfficialJohn Michael SelfBus. Owner/chiropractic Physician · (865) 687-7600
Enumeration DateAugust 11, 2007
✔ NPI 1629260831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TN · 0000001403
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
115 GRESHAM RD, Knoxville, TN 37918

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)

Self Health And Wellness Center, Llc 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 Self Health And Wellness Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1073722443
115 GRESHAM RD
Knoxville, TN 37918
(865) 687-7600
Same address

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

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 Self Health And Wellness Center, LLC's NPI number?

The NPI number for Self Health And Wellness Center, LLC is 1629260831. It was assigned to this organization in the NPPES registry on August 11, 2007.

Where is Self Health And Wellness Center, LLC located?

Self Health And Wellness Center, LLC is located at 115 Gresham Rd, Knoxville, TN 37918. The listed phone number is (865) 687-7600.

What is Self Health And Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Self Health And Wellness Center, LLC enrolled in Medicare?

Yes. Self Health And Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Self Health And Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Self Health And Wellness Center, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Self Health And Wellness Center, LLC was last updated on August 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.