Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southwellness Medical LLC

Organization Family Medicine Physician · NPI 1366099533

Southwellness Medical LLC provides Family Medicine Physician services in Paradise Valley, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10599 N Tatum Blvd Ste F151
Paradise Valley, AZ 85253-1053
Phone: (480) 991-9271
Fax: (844) 284-7758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366099533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Southwell — Ceo · (480) 991-9271
NPI enumeratedAugust 22, 2019
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020
Mailing address10599 N Tatum Blvd Ste F151, Paradise Valley, AZ 85253-1053

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