Wellness One Memphis PC
NPI 1124497730 · Sports Medicine (Family Medicine) Physician · Memphis, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellness One Memphis PC is a Sports Medicine (Family Medicine) Physician organization in Memphis, TN (NPI 1124497730).
Provider details
- NPI number
- 1124497730
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Russell Radican, President(901) 682-5335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-09-24
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Frequently asked questions
- What is Wellness One Memphis PC's NPI number?
- Wellness One Memphis PC's National Provider Identifier (NPI) is 1124497730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellness One Memphis PC?
- Wellness One Memphis PC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Wellness One Memphis PC located?
- Wellness One Memphis PC's practice location on file with NPPES is 6100 Primacy Pkwy Ste 112, Memphis, TN 38119-0705.
- What is Wellness One Memphis PC's phone number?
- The practice phone number listed in the NPPES registry for Wellness One Memphis PC is (901) 682-5335.
- Does Wellness One Memphis PC accept Medicare?
- Wellness One Memphis PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wellness One Memphis PC?
- The authorized official listed on Wellness One Memphis PC's NPPES record is Russell Radican, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellness One Memphis PC's NPI active?
- Yes — Wellness One Memphis PC's NPI (1124497730) is active in the NPPES registry as of the last update on 2025-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.