WELLVANA MARYLAND, LLC
NPI 1699407502
Preferred Provider Organization in Nashville, TN

Q: What is Wellvana Maryland, LLC's NPI number?

The NPI number for Wellvana Maryland, LLC is 1699407502. It was assigned to this organization in the NPPES registry on June 29, 2022.

Q: What is Wellvana Maryland, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since June 29, 2022

4840 CENTENNIAL BLVD STE 202, NASHVILLE, TN 37209(860) 501-7908 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wellvana Maryland, Llc NPPES

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

WELLVANA MARYLAND, LLC (NPI 1699407502) is a healthcare organization registered as a preferred provider organization in Nashville, Tennessee and active in the NPI registry since June 2022. The organization lists Kyle Wailes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699407502

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameWELLVANA MARYLAND, LLC

Location Address4840 CENTENNIAL BLVD STE 202Nashville, TN 37209-1792

Mailing Address4840 Centennial Blvd Ste 202Nashville, TN 37209-1792

Phone(860) 501-7908

Organization SubpartYesParent: Wellvana Health

Authorized OfficialKyle WailesCeo · (401) 378-7336

Enumeration DateJune 29, 2022

NPPES CertifiedJune 29, 2022

✔ NPI 1699407502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

4840 CENTENNIAL BLVD STE 202, Nashville, TN 37209

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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 Wellvana Maryland, LLC's NPI number?

The NPI number for Wellvana Maryland, LLC is 1699407502. It was assigned to this organization in the NPPES registry on June 29, 2022.

Where is Wellvana Maryland, LLC located?

Wellvana Maryland, LLC is located at 4840 Centennial Blvd Ste 202, Nashville, TN 37209. The listed phone number is (860) 501-7908.

What is Wellvana Maryland, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Wellvana Maryland, LLC was last updated on June 29, 2022. 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.