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HEALING WATERS WELLNESS CENTER, LLC
NPI 1730698622
Internal Medicine in Mount Juliet, TN

Active since September 24, 2017CLIA 44D2159887 · Waiver
9695 LEBANON RD STE 340, MOUNT JULIET, TN 37122(833) 432-5987 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, Sep 24, 2017 (2 updates tracked since 2017).

About Healing Waters Wellness Center, Llc NPPES

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

HEALING WATERS WELLNESS CENTER, LLC (NPI 1730698622) is a healthcare organization registered as an internal medicine in Mount Juliet, Tennessee and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Janet Pelmore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730698622
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEALING WATERS WELLNESS CENTER, LLC
Location Address9695 LEBANON RD STE 340Mount Juliet, TN 37122-5541
Mailing Address5543 Edmondson Pike Ste 197Nashville, TN 37211-5808
Phone(833) 432-5987
Organization SubpartNo
Authorized OfficialJanet PelmoreCeo · (833) 432-5987
Enumeration DateSeptember 24, 2017
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1730698622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedCounselorTaxonomy 101Y00000X
9695 LEBANON RD STE 340, Mount Juliet, TN 37122
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 44D2159887

Healing Waters Wellness Center, LLC · Mount Juliet, TN
Active · expires Dec 27, 2026
CLIA Number44D2159887
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorDr. Janet C. Pelmore
Laboratory Phone(833) 432-5987
Laboratory LocationHealing Waters Wellness Center, LLC9695 Leabanon Road, Suite 340, Mount Juliet, TN 37122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GENORRIS L. CRAWFORD LPN, LPC/MHSP
Counselor (Professional)
9695 LEBANON RD STE 340
MT JULIET, TN 37122
Wilson County (833) 432-5987

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 Healing Waters Wellness Center, LLC's NPI number?

The NPI number for Healing Waters Wellness Center, LLC is 1730698622. It was assigned to this organization in the NPPES registry on September 24, 2017.

Where is Healing Waters Wellness Center, LLC located?

Healing Waters Wellness Center, LLC is located at 9695 Lebanon Rd Ste 340, Mount Juliet, TN 37122. The listed phone number is (833) 432-5987.

What is Healing Waters Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Healing Waters Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2159887) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healing Waters Wellness Center, LLC was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.