PRESTIGE HEALTH & WELLNESS CENTER, PLLC (NPI# 1821521451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821521451 |
Entity Type | Organization |
Organization Name | PRESTIGE HEALTH & WELLNESS CENTER, PLLC |
Other Organization Name | STRONG HEALTH & WELLNESS CENTER, PLLC |
Practice Address |
2711 Randolph Rd Suite 207 Charlotte NC 28207-2034 |
Practice Telephone | 7049105982 |
Practice Fax Number | 7047339796 |
Mailing Telephone | 7049105982 |
Mailing Fax Number | 7047339796 |
Enumeration Date | 2017-04-10 |
Last Update Date | 2017-04-23 |
Authorized Official Name | DR. DEVON M RAMBERT-HAIRSTON (FAMILY PRACTITIONER) |
Authorized Official Telephone | 7049105982 |
Authorized Official Credential | DNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
5004878 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7005652 | 05 |
Other Name | Type Code |
---|---|
Strong Health & Wellness Center, PLLC | Former Legal Business Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PRESTIGE HEALTH & WELLNESS CENTER, PLLC | 2711 Randolph Rd Ste 207, Charlotte, NC 28207-2027 |
Street Address |
2711 RANDOLPH RD SUITE 207 |
City | CHARLOTTE |
State | NC |
Zip Code | 28207-2034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233279 | David W Mcallister | Obstetrics & Gynecology | 2711 Randolph Rd, Ste 512, Charlotte, NC 28207-2027 | 2005-05-23 |
1558804203 | Nancy D. Marvin | Nurse Practitioner | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2016-11-29 |
1295108454 | Py Hearing and Communication Center | Audiologist | 2711 Randolph Rd, Suite 307, Charlotte, NC 28207-2034 | 2015-11-09 |
1588052765 | Veronica Laplante Rankin | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-12-22 |
1205238466 | Brittney Foreman Mcguirt | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-09-19 |
1720493083 | Anne Poutier | Nurse Practitioner | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2014-06-25 |
1134533540 | Sean Henriquez | Speech-Language Pathologist | 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 | 2014-06-13 |
1689090474 | Brandie Buckingham | Physician Assistant | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2034 | 2014-03-17 |
1144653205 | Samuel Jackson Burrow Iv | Dentist | 2711 Randolph Rd, Suite 600, Charlotte, NC 28207-2034 | 2013-08-13 |
1801239181 | Elizabeth Whetstone | Physical Therapist | 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 | 2013-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
Find all providers in zip 28207 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1952826323 | Lms Medical Services Pllc | Clinic/Center | 416 Mccullough Dr Ste 205, Charlotte, NC 28262-4392 | 2017-08-07 |
1326579640 | Mountain Summit Medical LLC | Clinic/Center | 10523 Kempsford Dr, Charlotte, NC 28262-2720 | 2017-03-27 |
1609328210 | Careatc-whitehall | Clinic/Center | 3615 Whitehall Park Dr, Suite G, Charlotte, NC 28273-4138 | 2016-10-30 |
1558711572 | Happy Healthcare, LLC | Clinic/Center | 3379 Highway 48 N Ste A, Charlotte, TN 37036-4838 | 2016-06-21 |
1912363177 | Ourhealth Physicians Group, LLC | Clinic/Center | 9020 Albemarle Rd, Suite E, Charlotte, NC 28227-2603 | 2016-01-04 |
1932573037 | Ourhealth Physicians Group, LLC | Clinic/Center | 4000 Wilkinson Blvd, Suite A, Charlotte, NC 28208-5521 | 2015-11-30 |
1861866964 | Ourhealth Physicians Group, LLC | Clinic/Center | 10216 Perimeter Pkwy, Unit C, Charlotte, NC 28216-2461 | 2015-11-30 |
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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.