Home Town Health Hub, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

HOME TOWN HEALTH HUB, LLC

Practice address

3755 Admiral Dr
Suite 101
High Point, NC 27265-1553

Phone

(336) 821-4185

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Kellie Davis Privette

Title

VP Strategic Development

Phone

(336) 821-4185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1295287100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ADMIRAL DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651553",
            "telephone_number": "336-821-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ADMIRAL DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651553",
            "telephone_number": "336-821-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN HEALTH HUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "PRIVETTE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "VP STRATEGIC DEVELOPMENT",
        "authorized_official_telephone_number": "336-821-4185"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in High Point, NC
• Providers in High Point, NC by specialty
• Public Health & General Preventive Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.