Organization Active NPI

Health and Wellness Primary Care LLC

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1235759895
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTH AND WELLNESS PRIMARY CARE LLC
Practice address
1303 Sunset Cir
Statesboro, GA 30458-1575
Phone
(912) 601-5030
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Nekey Chiffon Perkins
Title
Nurse Practitioner
Phone
(912) 601-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1303 Sunset Cir
Statesboro, GA 30458-1575

Mailing address

1303 Sunset Cir
Statesboro, GA 30458-1575
Phone (912) 601-2007

National Provider Directory

National Provider Directory

Locations

1213 Merchant Way
Ste 101
Statesboro, GA 30458
Phone (912) 243-9203

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1235759895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SUNSET CIR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581575",
            "telephone_number": "912-601-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SUNSET CIR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581575",
            "telephone_number": "912-601-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "NEKEY",
        "authorized_official_middle_name": "CHIFFON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "912-601-2007"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.