Active NPI
Premier Health & Wellness,LL
- General Practice Physician
- Mt Pleasant, SC
National Provider Identifier
1356188627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PREMIER HEALTH & WELLNESS,LL
- Practice address
- 1300 Hospital Dr Ste 370
Mt Pleasant, SC 29464-3245 - Phone
- (256) 606-3415
- NPI assigned
- Jul 12, 2024
- 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
- Ms. Anna Thornley
- Title
- Coo
- Phone
- (256) 606-3415
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Corporate Health Clinic/Center | 261QC1800X |
Addresses
Primary practice location
1300 Hospital Dr Ste 370
Mt Pleasant, SC 29464-3245
Mailing address
1300 Hospital Dr Ste 370
Mt Pleasant, SC 29464-3245
Phone (256) 606-3415
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1356188627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 370",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643245",
"telephone_number": "256-606-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HOSPITAL DR STE 370",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643245",
"telephone_number": "256-606-3415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH & WELLNESS,LL",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "THORNLEY",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "256-606-3415",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.