Active NPI
Pivot Health & Lifestyle PLLC
- Primary Care Clinic/Center
- Wilmington, NC
National Provider Identifier
1083572077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PIVOT HEALTH & LIFESTYLE PLLC
- Practice address
- 2909 Market St
Wilmington, NC 28403-1221 - Phone
- (205) 567-4307
- NPI assigned
- Jan 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Osinuga, MD
- Title
- Owner
- Phone
- (205) 567-4307
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2909 Market St
Wilmington, NC 28403-1221
Mailing address
1012 Baldwin Park Dr
Wilmington, NC 28411-2201
Phone (205) 567-4307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260318001499 | NC | Part B Supplier - Clinic/Group Practice | 4789168709 |
Receives reassigned benefits from 1 practitioner Practice locations: Wilmington, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2340354 | Pivot Health & Lifestyle PLLC | Certificate of waiver | Mar 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768003200000",
"number": "1083572077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 BALDWIN PARK DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284112201",
"telephone_number": "205-567-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 MARKET ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031221",
"telephone_number": "205-567-4307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT HEALTH & LIFESTYLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-10",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A",
"authorized_official_last_name": "OSINUGA",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-567-4307",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.