Organization Active NPI

Emerald City Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shallotte, NC
National Provider Identifier
1265250864
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EMERALD CITY WELLNESS PLLC
Practice address
117 Holden Beach Rd SW Unit 108
Shallotte, NC 28470-1787
Phone
(910) 629-5344
Fax
(910) 348-8664
NPI assigned
Oct 1, 2024
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Luann Damiani-Grochowski, PMHNPNPI 1073378162
Title
Owner, Pmhnp
Phone
(917) 576-1186

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

117 Holden Beach Rd SW Unit 108
Shallotte, NC 28470-1787

Mailing address

117 Holden Beach Rd SW Unit 108
Shallotte, NC 28470-1787
Phone (910) 629-5344

National Provider Directory

National Provider Directory

Locations

2310 S Miami Blvd
Ste 141
Durham, NC 27703
Phone (919) 228-8026

117 Holden Beach Rd SW
Unit 108
Shallotte, NC 28470
Phone (910) 629-5344

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1265250864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HOLDEN BEACH RD SW UNIT 108",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701787",
            "telephone_number": "910-629-5344",
            "fax_number": "910-348-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HOLDEN BEACH RD SW UNIT 108",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701787",
            "telephone_number": "910-629-5344",
            "fax_number": "910-348-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CITY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "DAMIANI-GROCHOWSKI",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "OWNER, PMHNP",
        "authorized_official_telephone_number": "917-576-1186",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.