Preventative Wellness Solutions I PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREVENTATIVE WELLNESS SOLUTIONS I PLLC

Practice address

4446 US Highway 220 N Ste E
Summerfield, NC 27358-9415

Phone

(336) 290-6669

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Jodi Despoy

Title

Secretary and Treasurer

Phone

(813) 228-6334

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Preventative Wellness Solutions I PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Preventative Wellness Solutions I PLLC

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1023721529
  NPD tax ID
• Preventative Wellness Solutions I PLLC

  • Family Medicine Physician
  • Chapel Hill, NC
  • NPI 1922712793
  NPD tax ID

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Preventative Wellness Solutions I PLLC

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1023721529
  NPPES parent name
• Preventative Wellness Solutions I PLLC

  • Family Medicine Physician
  • Chapel Hill, NC
  • NPI 1922712793
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Novas Jones, FNP-C

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1487931903
  NPD (past)
• Randi Simpkins Jones, AGNP

  • Adult Health Nurse Practitioner
  • Chapel Hill, NC
  • NPI 1821976911
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1356005805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S HYDE PARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062266",
            "telephone_number": "813-228-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 US HIGHWAY 220 N STE E",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589415",
            "telephone_number": "336-290-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE WELLNESS SOLUTIONS I PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "DESPOY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "SECRETARY AND TREASURER",
        "authorized_official_telephone_number": "813-228-6334"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipa J Oza
• Tristan James Parry, DDS
• Merlin Paul
• Lindsly Pittman, MS, OTR/L
• Benton Todd Powley, PTA
• Proactive Therapy and Wellness
• Lisa Ann Rancer, DPT
• Restoration & Clarity Counseling Center, PLLC
• Rha Health Services NC, LLC
• John Patrick Ringhisen, ATS

• All providers in Summerfield, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.