PREMIERE HEALTH AND WELLNESS MEDICAL CENTER


Address: 1020 Rankin St, Suite 412, Wilmington, NC 28401-3700
Phone: 9194164700

PREMIERE HEALTH AND WELLNESS MEDICAL CENTER (NPI# 1326404344) 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) 1326404344
Entity Type Organization
Organization Name PREMIERE HEALTH AND WELLNESS MEDICAL CENTER
Practice Address 1020 Rankin St
Suite 412
Wilmington
NC 28401-3700
Mailing Address 2609 N Duke St
Suite 403
Durham
NC 27704-3048
Practice Telephone 9194164700
Practice Fax Number 9194160821
Mailing Telephone 9194164700
Mailing Fax Number 9194160821
Enumeration Date 2016-01-06
Last Update Date 2016-01-06
Authorized Official Name DR. VENUS IDETTE PITTS (OWNER)
Authorized Official Telephone 9194164700
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RA0401X Internal Medicine
Specialization: Addiction Medicine
9900644 NC Allopathic & Osteopathic Physicians
N 207RB0002X Internal Medicine
Specialization: Obesity Medicine
9900644 NC Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 9900644 NC Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 9900644 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICARE ID 2026035A 01
NC 89136E4 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942578554 Premiere Health and Wellness Medical Center Pediatrics 2609 N Duke St, Suite 403, Durham, NC 27704-3048 2011-12-09

Office Location

Street Address 1020 RANKIN ST
SUITE 412
City WILMINGTON
State NC
Zip Code 28401-3700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255513990 Anne Marie Cerrano Social Worker 1020 Rankin St, Suite 412, Wilmington, NC 28401-3700 2007-12-05
1497110944 Life Transitions Inc. Counselor 1020 Rankin St, Suite 412, Wilmington, NC 28401-3700 2015-12-29
1760655237 Community Support Specialists Case Management 1020 Rankin St, Suite 412, Wilmington, NC 28401-3700 2008-04-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891357760 Essentials Medical Group De LLC Internal Medicine 3700 Lancaster Pike Ste 301, Wilmington, DE 19805-1511 2019-07-01
1467815191 Jenna Leigh Laughlin Internal Medicine 501 W 14th St., Wilmington, DE 19801 2016-03-31
1578982666 Shannon E. Pan Internal Medicine 3301 Lancaster Pike Ste 9, Wilmington, DE 19805-1436 2014-04-16
1922428044 Katelyn Fritzges Internal Medicine 3506 Kennett Pike Ste 230, Wilmington, DE 19807-3019 2014-04-16
1902241441 Brenden David Connor Internal Medicine 2006 Limestone Rd Ste 7, Wilmington, DE 19808 2013-05-09
1619221744 Monika Partyka-zdunek Internal Medicine 625 Black Gates Rd, Wilmington, DE 19803-2239 2012-10-26
1982963443 Kathryn Sweeney El-amraoui Internal Medicine 4512 Kirkwood Hwy Ste 300, Wilmington, DE 19808-5129 2012-05-03
1558635714 Allison Bronwen Evans Internal Medicine 1203 Barley Mill Rd, Wilmington, DE 19807-2225 2012-03-05
1225301971 Romil Rasik Patel Internal Medicine 2006 Limestone Road, Suite 7, Wilmington, DE 19808 2012-02-10
1982976692 Joseph M Molina Md Professional Corporation-southern California Internal Medicine 445 E. Anaheim Street, #h, Wilmington, CA 90744-4600 2012-01-27
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Competitor

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City WILMINGTON
Zip Code 28401

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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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