ELEVATED WELLNESS MEDICAL CENTER
NPI 1699538272
General Practice in Columbus, OH

Active since February 05, 2024
5340 E MAIN ST, COLUMBUS, OH 43213(614) 370-1048 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elevated Wellness Medical Center NPPES

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

ELEVATED WELLNESS MEDICAL CENTER (NPI 1699538272) is a healthcare organization registered as a general practice in Columbus, Ohio and active in the NPI registry since February 2024. The organization lists Nicholas Knight, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699538272
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameELEVATED WELLNESS MEDICAL CENTER
Location Address5340 E MAIN STColumbus, OH 43213-2574
Mailing Address5785 Halton Gill LnNew Albany, OH 43054-4016
Organization SubpartNo
Authorized OfficialNicholas KnightCeo · (614) 302-9816
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1699538272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5340 E MAIN ST, Columbus, OH 43213

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)

Elevated Wellness Medical Center 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 Elevated Wellness Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1912981812
112 JEFFERSON AVE SUITE 201
Columbus, OH 43215
(614) 453-1065
✔ PECOS✔ Accepts Medicare6.9 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 of Waiver 36D2312476

Elevated Wellness Medical Center · Whitehall, OH
Expired · Oct 10, 2026
CLIA Number36D2312476
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorDonald Woodard
Laboratory Phone(614) 674-2247
Laboratory LocationElevated Wellness Medical Center5340 East Main Street, Suite 107, Whitehall, OH 43213
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Elevated Wellness Medical Center's NPI number?

The NPI number for Elevated Wellness Medical Center is 1699538272. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is Elevated Wellness Medical Center located?

Elevated Wellness Medical Center is located at 5340 E Main St, Columbus, OH 43213. The listed phone number is (614) 370-1048.

What is Elevated Wellness Medical Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Elevated Wellness Medical Center enrolled in Medicare?

Yes. Elevated Wellness Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elevated Wellness Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elevated Wellness Medical Center. 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 Elevated Wellness Medical Center was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.