PREMIUM WELLNESS AND PRIMARY CARE


Address: 4002 Spring Garden St, Suite C, Greensboro, NC 27407-1683
Phone: 3365530793

PREMIUM WELLNESS AND PRIMARY CARE (NPI# 1336599547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336599547
Entity Type Organization
Organization Name PREMIUM WELLNESS AND PRIMARY CARE
Practice Address 4002 Spring Garden St
Suite C
Greensboro
NC 27407-1683
Practice Telephone 3365530793
Mailing Telephone 3365530793
Enumeration Date 2016-06-18
Last Update Date 2016-12-01
Authorized Official Name MR. BYRON GLADDEN (CREDENTIAL SPECIALIST)
Authorized Official Telephone 3365530793
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QH0100X Clinic/Center
Specialization: Health Service
5006433 NC Ambulatory Health Care Facilities
Y 261QH0100X Clinic/Center
Specialization: Health Service
5004483 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 8975633 05

Office Location

Street Address 4002 SPRING GARDEN ST
SUITE C
City GREENSBORO
State NC
Zip Code 27407-1683

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205937851 Hearthside Home Care, Inc. Home Health 4002 Spring Garden St, Ste A, Greensboro, NC 27407-1683 2006-09-26
1508328816 Bethany Medical Center Dermatology 4002 Spring Garden St, Greensboro, NC 27407-1683 2019-04-04
1023342144 Takela Naquay Anderson Nurse Practitioner 4002 Spring Garden St, Ste C, Greensboro, NC 27407-1683 2009-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093326019 Marie Louise Phillips Behavior Technician 111 Domona Dr, Unit 6, Greensboro, NC 27407 2020-08-13
1306472709 Blondine Yvonne Wynn Home Health Aide 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 2020-03-17
1104452994 Monyetta Marie Howell Counselor 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 2020-03-12
1215456769 Tiffany R. Wright Massage Therapist 317 H South Westgate Drive, Greensboro, NC 27407 2017-09-15
1992225676 Kendra Edwards Social Worker 1 Centerview Dr Ste 103, Greensboro, NC 27407 2017-06-22
1477902674 Triad Integrative Wellness Center Inc Acupuncturist 315j South Westgate Dr, Greensboro, NC 27407 2016-06-08
1083098354 Kathryn Theall Counselor 1901 Adams Farm Pkwy, Greensboro, NC 27407 2015-07-16
1962886333 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 5710-w West Gate City Blvd, Greensboro, NC 27407 2015-07-16
1619356177 Lindsey King Registered Nurse 302 Pomona Drive, Greensboro, NC 27407 2015-05-29
1255737664 M.a.p.p.s. Clinic/Center 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 2014-11-12
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679041552 Serenity Rehabilitation Services Clinic/Center 2216 W Meadowview Rd Ste 201, Greensboro, NC 27407-3401 2018-11-08
1144629833 North Carolina A&t State University Clinic/Center 112 N Benbow Rd, Greensboro, NC 27411-0002 2014-08-19
1316139397 Mohammad Lawal Garba, Md, Pa Clinic/Center 409g Parkway Avenue, Greensboro, NC 27401 2007-08-14
1720120637 North Carolina A&t State University Clinic/Center 112 N. Benbow Road, Greensboro, NC 27411 2007-02-14
1942758412 The University of North Carolina At Greensboro Clinic/Center 107 Gray Dr, Gove Student Health Center, Greensboro, NC 27412-5008 2016-09-14
1396001616 The University of North Carolina At Greensboro Clinic/Center 107 Gray Dr, Gove Student Health Center, Greensboro, NC 27412-5008 2012-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407460603 Fonshaunna Alston Clinic/Center 107 Grandimere Ct, Durham, NC 27703-9613 2020-09-04
1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
1790306819 Aeroflow Connect LLC Clinic/Center 3165 Sweeten Creek Rd, Asheville, NC 28803-2115 2020-04-29
1811518244 Haven Total Wellness, Pllc Clinic/Center 149 Woodlawn St Suite C, West End, NC 27376 2020-04-27
1073156931 Coastal Carolina Primary Care, Pllc Clinic/Center 15441 Us Highway 17 N Ste 501, Hampstead, NC 28443-0016 2019-10-23
1396303178 Chiroduo Clinic/Center 6816 Ray Rd, Raleigh, NC 27613-3237 2019-06-05
1780147108 Legacy Health Pa Clinic/Center 3049 Senna Dr, Matthews, NC 28105-6727 2019-04-11
1114496502 Acupuncture Balanced Health Clinic/Center 112 Perkins Dr Ste 200, Chapel Hill, NC 27514-1786 2018-11-15
1972071884 Our Health Lab Inc Clinic/Center 1411 Asheville Hwy, Hendersonville, NC 28791-2301 2018-11-08
1083125892 Johnson Therapy Services Clinic/Center 10216 Perimeter Pkwy # 9, Charlotte, NC 28216-2461 2017-10-19
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Competitor

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City GREENSBORO
Zip Code 27407

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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