| True Wellness Medical LLC. | |
|
6102 Shallowford Rd Ste 103 Chattanooga TN 37421-1684 | |
| (423) 475-6438 | |
| Not Available |
| Full Name | True Wellness Medical LLC. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6102 Shallowford Rd Ste 103, Chattanooga, Tennessee |
| Authorized Official Name and Position | Brandi Vatt (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 4232069947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Wellness Medical LLC. 6102 Shallowford Rd Ste 103 Chattanooga TN 37421-1684 Ph: (423) 475-6438 | True Wellness Medical LLC. 6102 Shallowford Rd Ste 103 Chattanooga TN 37421-1684 Ph: (423) 475-6438 |
| NPI Number | 1417470501 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 10/13/2025 |
| Certification Date | 10/13/2025 |
| Medicare PECOS PAC ID | 8729481262 |
|---|---|
| Medicare Enrollment ID | O20210721003956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417470501 | NPI | - | NPPES |
| 1578126249 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 208D00000X | General Practice | MD0000055440 (Tennessee) | Secondary |
| Provider Name | Jakob Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093007007 PECOS PAC ID: 6709042963 Enrollment ID: I20120717000299 |
| Provider Name | Casey a Kent |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942934500 PECOS PAC ID: 9032586862 Enrollment ID: I20221107002920 |
| Provider Name | Emily B Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700583473 PECOS PAC ID: 8921465303 Enrollment ID: I20230530001786 |
| Provider Name | Sylina Troupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407688518 PECOS PAC ID: 1658341136 Enrollment ID: I20251004000270 |
| Provider Name | Taylor L Sparks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295276764 PECOS PAC ID: 5294221339 Enrollment ID: I20251229001475 |
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