Organization Active NPI

Zenith Health and Wellness, PLLC

  • Family Medicine Physician
  • Kernersville, NC
National Provider Identifier
1164306759
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZENITH HEALTH AND WELLNESS, PLLC
Practice address
125 Allen St
Kernersville, NC 27284-2940
Phone
(336) 742-3560
Fax
(336) 790-0008
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Crystal Bates, APRN, FNP-CNPI 1457590507
Title
Owner/Provider
Phone
(336) 995-3005

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

125 Allen St
Kernersville, NC 27284-2940

Mailing address

125 Allen St
Kernersville, NC 27284-2940
Phone (336) 742-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031000081 NC Part B Supplier - Clinic/Group Practice 1850880634 Receives reassigned benefits from 1 practitioner
Practice locations: Kernersville, NC

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
34D2332747Zenith Health and Wellness, PLLC125 Allen St, Kernersville, NC 27284Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

125 Allen St
Kernersville, NC 27284
Phone (336) 283-3830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1164306759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALLEN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842940",
            "telephone_number": "336-742-3560",
            "fax_number": "336-790-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALLEN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842940",
            "telephone_number": "336-742-3560",
            "fax_number": "336-790-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENITH HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "336-995-3005",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.

Verify at the official NPI Registry.