FAMILY WELLNESS CLINIC (NPI# 1952799892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952799892 |
| Entity Type | Organization |
| Organization Name | FAMILY WELLNESS CLINIC |
| Practice Address |
2076 Nc Highway 42 W Ste 230 Clayton NC 27520-5303 |
| Practice Telephone | 9195535711 |
| Practice Fax Number | 9195535712 |
| Mailing Telephone | 9195535711 |
| Mailing Fax Number | 9195535712 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |
| Authorized Official Name | DR. BHAVNA VAIDYA TANK (OWNER) |
| Authorized Official Telephone | 9195535711 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
200400430 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CA891372V | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801294665 | Family Wellness Clinic | Clinical Medical Laboratory | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2014-12-10 |
| 1396173829 | Family Wellness Clinic | Clinic/Center | 3152 N Millbrook Ave, Suite C, Fresno, CA 93703-1400 | 2013-10-18 |
| Street Address |
2076 NC HIGHWAY 42 W STE 230 |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801294665 | Family Wellness Clinic | Clinical Medical Laboratory | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2014-12-10 |
| 1972134674 | Christine Klema Palmer | Nurse Practitioner | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2020-01-31 |
| 1821633629 | Andrew Michael Bohunicky | Family Medicine | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2019-11-15 |
| 1104382639 | Jessica Shields | Nurse Practitioner | 2076 Nc Highway 42 W Ste 230, Clayton, NC 27520-5303 | 2019-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295918324 | Southwest Family Medical Care, Inc. | Clinic/Center | 200 Court St., Clayton, NM 88415 | 2007-12-12 |
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| 1114496502 | Acupuncture Balanced Health | Clinic/Center | 112 Perkins Dr Ste 200, Chapel Hill, NC 27514-1786 | 2018-11-15 |
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| Find all providers with the same taxonomy | ||||
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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.