PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A. (NPI# 1336452390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336452390 |
| Entity Type | Organization |
| Organization Name | PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A. |
| Other Organization Name | PEAK NUTRITION AND WEIGHT LOSS CLINIC HOLLY SPRINGS |
| Practice Address |
216 Village Walk Dr Holly Springs NC 27540-7681 |
| Practice Telephone | 9195860031 |
| Practice Fax Number | 9195860035 |
| Mailing Telephone | 9195860031 |
| Mailing Fax Number | 9195860035 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | DR. SAMUEL D BLACKWELL (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9195860031 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
32989 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peak Nutrition and Weight Loss Clinic Holly Springs | Other Name - Individual/Organization |
| Street Address |
216 VILLAGE WALK DR |
| City | HOLLY SPRINGS |
| State | NC |
| Zip Code | 27540-7681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612785 | Marina Isabel Mckeown | Speech-Language Pathologist | 1140 W Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540 | 2019-07-26 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1699240937 | Kristen Shrum | Family Medicine | 401 Irving Parkway, Holly Springs, NC 27540 | 2018-10-12 |
| 1508369109 | Shannon Silsby | Nurse Practitioner | 1004 Werrington Dr Ste 200, Holly Springs, NC 27540 | 2018-03-10 |
| 1790212306 | Alex Nolan | Speech-Language Pathologist | 251 Center Street, Holly Springs, NC 27540 | 2017-05-12 |
| 1386190957 | Holly Springs Surgery Center, LLC | Clinic/Center | 600 Village Walk Drive, Holly Springs, NC 27540 | 2016-09-01 |
| 1568827723 | Leslie Clark Lively | Speech-Language Pathologist | 1140 W. Savannah Ridge Road, Suite 111, Holly Springs, NC 27540 | 2015-12-15 |
| 1124410667 | Back In Action of Holly Springs, Inc | Physical Therapist | 500 Village Walk Dr., Holly Springs, NC 27540 | 2015-02-20 |
| 1033559018 | Andrew John Krieger | Emergency Medicine | 5405 Bluet Ct, Holly Springs, NC 27540 | 2013-07-05 |
| 1598104200 | Atkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 144 Adrian Street, Holly Springs, NC 27540 | 2013-06-17 |
| Find all providers in zip 27540 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649778101 | Natasha Rudd | Family Medicine | 400 Clarice Ave Ste 100, Charlotte, NC 28204-2768 | 2018-01-30 |
| 1730608456 | Doctors Weight Loss Center of Cary | Family Medicine | 216 Ashville Ave Ste 30, Cary, NC 27518-6679 | 2017-09-13 |
| 1568818110 | Arruya I, Pllc | Family Medicine | 1550 Hendersonville Rd Ste 200, Asheville, NC 28803-3245 | 2016-05-12 |
| 1053739375 | Nc Preventative Medicine and Wellness Clinic | Family Medicine | 1911 Falls Valley Dr, Suite 105, Raleigh, NC 27615-2495 | 2014-04-03 |
| 1699029074 | Rtp Healthy Wellness Pllc | Family Medicine | 1021 Darrington Dr Ste 201, Cary, NC 27513-8157 | 2012-11-06 |
| 1487805222 | Roger Davis Shetterly | Family Medicine | 103 Wythe Ct, Flat Rock, NC 28731 | 2008-10-09 |
| 1609294925 | Nc Preventative Medicine and Wellness Clinic | Family Medicine | 309 S Sharon Amity Rd, Suite 102, Charlotte, NC 28211-2978 | 2014-04-03 |
| 1376976878 | Nc Preventative Medicine and Wellness Clinic, Pllc | Family Medicine | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2013-08-20 |
| 1821325010 | Stanly Medical Services | Family Medicine | 320 Yadkin St, Suite B, Albemarle, NC 28001-3447 | 2009-11-09 |
| City | HOLLY SPRINGS |
| Zip Code | 27540 |
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| 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.