Organization Active NPI

Wellness Associates PLLC

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1437523636
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-01982 Issued in NC
Legal business name
WELLNESS ASSOCIATES PLLC
Practice address
1500 Garner Rd Ste a
Raleigh, NC 27610-6669
Phone
(919) 654-7309
Fax
(919) 651-1045
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Wanett Williams-Mims
Title
Owner/Ceo
Phone
(919) 654-7309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2008-01982 NC Primary

Addresses

Primary practice location

1500 Garner Rd Ste a
Raleigh, NC 27610-6669

Mailing address

PO Box 10492
Raleigh, NC 27605-0492
Phone (919) 654-7309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1437523636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10492",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276050492",
            "telephone_number": "919-654-7309",
            "fax_number": "919-651-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GARNER RD STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106669",
            "telephone_number": "919-654-7309",
            "fax_number": "919-651-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-MIMS",
        "authorized_official_first_name": "WANETT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-654-7309"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-01982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.