Healthcare Provider Details

I. General information

NPI: 1922951474
Provider Name (Legal Business Name): WHEELING & HEALING MOBILE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 BRADYVILLE PIKE
MURFREESBORO TN
37130-5634
US

IV. Provider business mailing address

1107 BRADYVILLE PIKE
MURFREESBORO TN
37130-5634
US

V. Phone/Fax

Practice location:
  • Phone: 615-852-5335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAWN DEGEORGE PRUITT SR.
Title or Position: CEO
Credential: PHARM.D.
Phone: 615-852-5335