Health & Wellness Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1830 Issued in NC

Legal business name

HEALTH & WELLNESS CENTER, INC.

Practice address

1171 N Bragg Blvd
Spring Lake, NC 28390-3116

Phone

(910) 436-5000

Fax

(910) 436-7705

NPI assigned

Jul 6, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tina Marie Driscoll, D.C.NPI 1083611040

Title

President

Phone

(910) 436-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Spring Lake Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Marie Driscoll, D.C.

  • Chiropractor
  • Spring Lake, NC
  • NPI 1083611040
  Medicare reassignment NPD Authorized official
• Brenda Burley Stroker, DC

  • Chiropractor
  • Aberdeen, NC
  • NPI 1417957036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1013914977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GLENOLA ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283113206",
            "telephone_number": "910-822-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 N BRAGG BLVD",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903116",
            "telephone_number": "910-436-5000",
            "fax_number": "910-436-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-436-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013FC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "89013FC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Lake Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariya Vinogradov Harn, DMD
• Nakita Harris
• Allison Hayes
• Nadine Sharise Hayes
• Victoria Edna Hayes
• Britany B Henderson, ABAT
• Jessica Heroux
• Hesed Bodywork LLC
• Charland G Hill
• Joshua Edward Hill

• Chiropractor in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.