Active NPI
Premium Wellness Group Inc.
- Peer Specialist
- Charlotte, NC
National Provider Identifier
1164321089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- PREMIUM WELLNESS GROUP INC.
- Practice address
- 3440 Toringdon Way
Charlotte, NC 28277-3190 - Phone
- (770) 294-8340
- NPI assigned
- Nov 5, 2026
- Last updated
- Nov 7, 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
- Mr. Billy Walker
- Title
- Owner
- Phone
- (770) 294-8340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
3440 Toringdon Way
Charlotte, NC 28277-3190
Mailing address
4861 Elm Leaf Dr SW
Atlanta, GA 30331-7502
Phone (770) 294-8340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1794009600000",
"number": "1164321089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4861 ELM LEAF DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303317502",
"telephone_number": "770-294-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 TORINGDON WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282773190",
"telephone_number": "770-294-8340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM WELLNESS GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-05",
"last_updated": "2026-11-07",
"certification_date": "2026-11-07",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "BILLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-294-8340",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Premise Health of North Carolina Medical PC (Truist Charlotte Cascade)
- Premise Health of North Carolina Medical PC (Vanguard Charlotte)
- Premise Health of North Carolina Medical, P.C (Choose Health Wellness Center)
- Premise Health of North Carolina Medical, P.C (TIAA-CREF-Charlotte)
- Premium Home Care Services LLC
- Makaela Premont, PHARMD, RPH
- Simon St. John Prendiville, MD
- Kirsten L. Presby, NP
- Presbyterian Breast Center LLC (Presbyterian Breast Center Ballantyne)
- Presbyterian Breast Center LLC (Novant Health Breast Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.