PRESTIGE HEALTH & WELLNESS CENTER, PLLC


Address: 2711 Randolph Rd, Suite 207, Charlotte, NC 28207-2034
Phone: 7049105982

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
5004878 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 7005652 05

Other Provider/Organization Names

Other Name Type Code
Strong Health & Wellness Center, PLLC Former Legal Business Name - Organization

Other Data Sources

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

Office Location

Street Address 2711 RANDOLPH RD
SUITE 207
City CHARLOTTE
State NC
Zip Code 28207-2034

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1851907604 Primary Care of North Carolina Inc Clinic/Center 3500 Stonehaven Dr, Charlotte, NC 28215-3232 2020-09-17
1528619293 Careatc Clinic/Center 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 2019-09-24
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
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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Competitor

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City CHARLOTTE
Zip Code 28207

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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