Active NPI
Dr S Weightloss & Wellness, PLLC
- Internal Medicine Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- DR S WEIGHTLOSS & WELLNESS, PLLC
- Practice address
- 202 E Arlington Blvd Ste D
Greenville, NC 27858-5021 - Phone
- (252) 227-0080
- NPI assigned
- Dec 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nachida Hamidi, MD
- Title
- Physician
- Phone
- (252) 227-0080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
202 E Arlington Blvd Ste D
Greenville, NC 27858-5021
Mailing address
1704 Rondo Dr
Greenville, NC 27858-5339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2174584 | Dr S Weightloss and Wellness, PLLC | Certificate of waiver | Nov 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
202 E Arlington Blvd
Ste D
Greenville, NC 27858
Phone (252) 227-0080
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1215107156
-
- Physician Assistant
- Pikeville, NC
- NPI 1568908044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663286400000",
"number": "1306484795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 RONDO DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E ARLINGTON BLVD STE D",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585021",
"telephone_number": "252-227-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR S WEIGHTLOSS & WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A",
"authorized_official_last_name": "HAMIDI",
"authorized_official_first_name": "NACHIDA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "252-227-0080",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.