Premier Wellness Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER WELLNESS CENTER PLLC

Practice address

4424 S McColl Rd
Edinburg, TX 78539-9608

Phone

(956) 322-5292

Fax

(956) 322-8718

NPI assigned

Jun 24, 2022

Last updated

Jun 24, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

DR. DIAGNE PREMIER OB GYN PAAs reported in NPPES

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

Authorized official

Name

Dr. Thiendella Diagne, MDNPI 1538330352

Title

Owner/ Physician

Phone

(956) 800-4378

Specialties & licenses 3

Addresses

Electronic endpoints 1

Part of

Dr Diagne Premier OB GYN PA

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18720/brand/1/csg/1/fhir/r4
• Direct secure messaging: thiendella.diagne.1@18720.direct.athenahealth.com

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dr. Diagne Premier OB GYN PA

  • Obstetrics & Gynecology Physician
  • Edinburg, TX
  • NPI 1487074050
  NPPES parent name

Practitioners 2

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.

• Thiendella Diagne, MD

  • Obstetrics & Gynecology Physician
  • Edinburg, TX
  • NPI 1538330352
  NPD Authorized official
• Abel Bokossa Mukete

  • Health & Wellness Coach
  • Edinburg, TX
  • NPI 1902537517
  NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1417689944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399608",
            "telephone_number": "956-322-5292",
            "fax_number": "956-322-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399608",
            "telephone_number": "956-322-5292",
            "fax_number": "956-322-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. DIAGNE PREMIER OB GYN PA",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "DIAGNE",
        "authorized_official_first_name": "THIENDELLA",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "956-800-4378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thiendella.diagne.1@18720.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Dr Diagne Athena direct message address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4424 S McColl Rd",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785399608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.