Organization Active NPI

All-American Health and Wellness, P.a.

  • Medical Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1255870952
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
ALL-AMERICAN HEALTH AND WELLNESS, P.A.
Practice address
3035 Boone Trail Ext Ste a
Fayetteville, NC 28304-3860
Phone
(910) 491-5736
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Ms. Mima Reid
Title
Office Manager
Phone
(910) 527-6332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

3035 Boone Trail Ext Ste a
Fayetteville, NC 28304-3860

Mailing address

3035 Boone Trail Ext Ste a
Fayetteville, NC 28304-3860
Phone (910) 491-5736

National Provider Directory

National Provider Directory

Locations

3035 Boone Trail Ext
Ste A
Fayetteville, NC 28304
Phone (910) 900-3814

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1255870952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 BOONE TRAIL EXT STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043860",
            "telephone_number": "910-491-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 BOONE TRAIL EXT STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043860",
            "telephone_number": "910-491-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-AMERICAN HEALTH AND WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MIMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-527-6332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.