Organization Active NPI

GR Wellness, LLC

  • Specialist
  • Charlotte, NC
National Provider Identifier
1124465604
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
201300747 Issued in NC
Legal business name
GR WELLNESS, LLC
Practice address
2550 W Arrowood Rd Ste 106
Charlotte, NC 28273-6658
Phone
(704) 220-1770
Fax
(704) 886-1883
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Dr. Gretchen Ann Reis, M.D.NPI 1972587657
Title
Owner / Doctor
Phone
(704) 220-1770

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 201300747 NC Primary

Addresses

Primary practice location

2550 W Arrowood Rd Ste 106
Charlotte, NC 28273-6658

Mailing address

2550 W Arrowood Rd Ste 106
Charlotte, NC 28273-6658
Phone (704) 220-1770

Other names 1

  • Integrity Wellness MD Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2204473Integrity Wellness MD2550 W Arrowood Rd, Suite 106, Charlotte, NC 28273Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

2550 W Arrowood Rd
Ste 106
Charlotte, NC 28273
Phone (704) 220-1770

Practitioners & 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": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1124465604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W ARROWOOD RD STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736658",
            "telephone_number": "704-220-1770",
            "fax_number": "704-886-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W ARROWOOD RD STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736658",
            "telephone_number": "704-220-1770",
            "fax_number": "704-886-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER / DOCTOR",
        "authorized_official_telephone_number": "704-220-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "201300747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Wellness MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrity Wellness MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.