Just Peachy Virtual Health and Wellness

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

JUST PEACHY VIRTUAL HEALTH AND WELLNESS

Doing business as

Berry Personalized Primary Care LLC

Practice address

704 Main St
Gatesville, NC 27938-9420

Phone

(252) 357-8272

Fax

(530) 237-1565

NPI assigned

Mar 6, 2023

Last updated

Sep 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Berry, AGNPNPI 1578125019

Title

Agnp/Owner

Phone

(757) 618-2545

Specialties & licenses 3

Addresses

Other names 2

• Berry Personalized Primary Care LLC Doing business as
• Berry Personalized Primary Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Mary Anne Berry, AGNP

  • Nurse Practitioner
  • Gates, NC
  • NPI 1578125019

  Gerontology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1326748815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389420",
            "telephone_number": "252-357-8272",
            "fax_number": "530-237-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389420",
            "telephone_number": "252-357-8272",
            "fax_number": "530-237-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Gates Bank Rd- Ends 10/01/25",
            "address_purpose": "LOCATION",
            "city": "Gates",
            "state": "NC",
            "postal_code": "279379734",
            "country_code": "US",
            "telephone_number": "757-618-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUST PEACHY VIRTUAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AGNP/OWNER",
        "authorized_official_telephone_number": "757-618-2545",
        "authorized_official_credential": "AGNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry Personalized Primary Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berry Personalized Primary Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berry Personalized Primary Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Suzanne Gardiner Mahar, PA-C

• Primary Care Nurse Practitioner in Gatesville, NC
• Providers in Gatesville, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.