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Southwellness Medical LLC

Family Medicine Physician in Paradise Valley, AZ · enumerated 2019 · authorized official Tyler Southwell, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366099533

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Registry record

Entity type Organization (Type 2)
Legal business name Southwellness Medical LLC
Practice address 10599 N Tatum Blvd Ste F151, Paradise Valley, AZ, 85253
Phone (480) 991-9271
Fax (844) 284-7758
Enumeration date Aug 22, 2019
Last updated in NPPES Oct 15, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Tyler Southwell
Title Ceo
Phone (480) 991-9271

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-15. Verify at npiregistry.cms.hhs.gov.
Where is Southwellness Medical LLC located?
The practice location on file with NPPES is in Paradise Valley, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-15.