MEDICARE: 1 ON 1 STAFFING AND WELLNESS CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043877962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 ON 1 STAFFING AND WELLNESS CLINIC

Provider Business Mailing Address
First Line	:	703 INDUSTRIAL CIR
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36869-6908
Country	:	US
Telephone Number	:	334-669-0377
Fax Number	:	334-246-4909

Provider Business Practice Location Address
First Line	:	703 INDUSTRIAL CIR
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36869-6908
Country	:	US
Telephone Number	:	334-669-0377
Fax Number	:	334-246-4909

Authorized Official
Title or Position	:	FOUNDER
Name	:	SHAKEA MILLER
Credential	:
Telephone Number	:	334-480-2000

Provider Enumeration Date	:	05/27/2019
Last Update Date	:	04/07/2026

Similar Medicare Providers

1619936838 — DR. GANGA M PUJARI MD
Practice Location Address:

6908 E RENO AVE , SUITE 104
MIDWEST CITY, OK
73110-2128

Practice Phone: 405-736-0055
Practice Fax: 405-736-6311

1902831803 — TRINA D SWYGERT MD
Practice Location Address:

6908 E RENO AVE , SUITE 102
MIDWEST CITY, OK
73110-2128

Practice Phone: 405-737-7000
Practice Fax: 405-869-1245

1548365117 — CARL N. GRIFFIN D.O.
Practice Location Address:

6908 E RENO AVE
MIDWEST CITY, OK
73110-2128

Practice Phone: 405-737-7000
Practice Fax: 405-737-7700

1861574089 — DR. THERESA ANN FEBBO D.C.
Practice Location Address:

6908 NW BARRY RD
KANSAS CITY, MO
64153-1764

Practice Phone: 816-665-8838
Practice Fax: 816-584-0149

1326122706 — HERITAGE PARK MEDICAL CENTER INC
Practice Location Address:

6908 E RENO AVE
MIDWEST CITY, OK
73110-2128

Practice Phone: 405-737-6871
Practice Fax: 405-737-7700

1750441804 — AVINASH C. VYAS MD
Practice Location Address:

6908 E RENO AVE
MIDWEST CITY, OK
73110-2128

Practice Phone: 405-737-6891
Practice Fax: 405-737-7700

Directions to “1 ON 1 STAFFING AND WELLNESS CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.