Peace Medical Center and Wellness, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PEACE MEDICAL CENTER AND WELLNESS, PLLC

Doing business as

Peace Medical Center and Wellness, PLLC

Practice address

9605 Gato del Sol CT
Waxhaw, NC 28173-0113

Phone

(980) 315-3540

NPI assigned

Jan 24, 2021

Last updated

Jan 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rose I Onuoha, MSN-FNP

Title

Member

Phone

(980) 315-3540

Specialties & licenses 3

Addresses

Other names 1

• Peace Medical Center and Wellness, PLLC Doing business as

Practitioners 1

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.

• Jude Okechukwu Onuoha, MD

  • Public Health & General Preventive Medicine Physician
  • Columbia, SC
  • NPI 1124231519
  NPD

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1235729104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281731043",
            "telephone_number": "980-315-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 GATO DEL SOL CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730113",
            "telephone_number": "980-315-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE MEDICAL CENTER AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "ONUOHA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "980-315-3540",
        "authorized_official_credential": "MSN-FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Medical Center and Wellness, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Nicole Partin
• Akash Chandrakant Patel, PHARMD
• Jagruti Patel
• Nimisha J Patel, R. PH.
• Parthivkumar Patel, PHARMD, RPH
• Renee Peacock, MOT, OTR/L
• Michelle Pelletier
• Robert S Pennello Sr., LCMHCS
• Jennifer Peoples, RPH
• Constance Elaine Perkins, LCSW

• General Practice Physician in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.