OrganizationActive
Robert Wilson, DC, PLLC
NPI 1366957656 · Clinic/Center · Centerville, TN
Provider details
- NPI number
- 1366957656
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Wilson, Sole Owner(931) 729-4001
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
132a N Central Ave
Centerville, TN 37033
Phone: (931) 729-4001
Fax: (931) 729-4081
Street-level locationGet directions
Mailing address
Po Box 99
Centerville, TN 37033-0099
Other names (DBA / former)
- Doing business as
- Life Source of Centerville
Registry dates
- Enumerated
- 2017-12-07
- Last updated
- 2018-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.