National Provider Identifier Database

WADE FAMILY MEDICINE LLC
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

WADE FAMILY MEDICINE, LLC.
899 HIGHWAY 51 S
COVINGTON, TN38019-2568
Phone: 901-244-4646
Fax: 901-244-4647
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Multi-Specialty 261QM1300X
Nurse Practitioner 363L00000X
Primary Care 261QP2300X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for WADE FAMILY MEDICINE, LLC.

NPI Number 1629586375
Legal business name
LBN
WADE FAMILY MEDICINE, LLC.
Authorized official MODEANNA WADE - (FNP)
Entity Organization
Organization subpart No
Enumeration date 01/16/2018
Last updated 07/09/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 16204
  • TN Medicaid: 1525986

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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