Active NPI
Wellness Associates PLLC
- Family Medicine Physician
- Raleigh, NC
National Provider Identifier
1437523636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2008-01982
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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
- Welllife Primary Care
- Welllife Primary Care
- Welllife:a Diabetes Clinic and Educational Resource Center
- Danielle Lemuth Wellman, MD
- Wellness & Transport Services, LLC
- Wellness Health Resources
- Wellness Home Care Services Inc
- Wellness Key Limited Liability Company
- Wellness One, Inc
- Wellness Pharmacy and Compounding Center LLC
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.