SOUTHERN HEALTH & WELLNESS CLINIC
NPI 1679246987
Clinic/Center - Primary Care in Humboldt, TN

Active since August 01, 2021CLIA 44D2241394 · Certificate of Compliance
3519 CHERE CAROL RD, HUMBOLDT, TN 38343(731) 414-9051 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Aug 8, 2021 (2 updates tracked since 2021).

About Southern Health & Wellness Clinic NPPES

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

SOUTHERN HEALTH & WELLNESS CLINIC (NPI 1679246987) is a healthcare organization registered as a primary care in Humboldt, Tennessee and active in the NPI registry since August 2021. The organization holds a CLIA Certificate of Compliance certificate valid through May 25, 2028 and lists Stephanie Thomas Boling, Owner, as its authorized official.

NPPES Registry Identity

NPI1679246987
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHERN HEALTH & WELLNESS CLINIC
Location Address3519 CHERE CAROL RDHumboldt, TN 38343-3638
Mailing Address3519 Chere Carol RdHumboldt, TN 38343-3638
Organization SubpartNo
Authorized OfficialStephanie Thomas BolingOwner · (731) 784-5080
Enumeration DateAugust 1, 2021
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
NPI 1679246987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3519 CHERE CAROL RD, Humboldt, TN 38343

Accepted 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 Compliance 44D2241394

Southern Health And Wellness Clinic · Humboldt, TN
Active · expires May 25, 2028
CLIA Number44D2241394
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorDr. Joe Mark Harris
Laboratory Phone(731) 784-5080
Laboratory LocationSouthern Health And Wellness Clinic3519 Chere Carol Rd, Humboldt, TN 38343
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3519 CHERE CAROL RD
HUMBOLDT, TN 38343

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 Southern Health & Wellness Clinic's NPI number?

The NPI number for Southern Health & Wellness Clinic is 1679246987. It was assigned to this organization in the NPPES registry on August 1, 2021.

Where is Southern Health & Wellness Clinic located?

Southern Health & Wellness Clinic is located at 3519 Chere Carol Rd, Humboldt, TN 38343. The listed phone number is (731) 414-9051.

What is Southern Health & Wellness Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Southern Health & Wellness Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2241394) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Health & Wellness Clinic 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 Southern Health & Wellness Clinic 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 Southern Health & Wellness Clinic was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.