Provider Demographics
NPI:1407040371
Name:WELLPATH, LLC
Entity Type:Organization
Organization Name:WELLPATH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR REIMBURSEMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-312-7250
Mailing Address - Street 1:1283 MURFREESBORO ROAD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217
Mailing Address - Country:US
Mailing Address - Phone:615-324-5750
Mailing Address - Fax:615-324-5751
Practice Address - Street 1:1283 MURFREESBORO ROAD
Practice Address - Street 2:SUITE 500
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217
Practice Address - Country:US
Practice Address - Phone:615-324-5750
Practice Address - Fax:615-324-5751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11700302R00000X
302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization