Healthcare 360 PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHCARE 360 PLLC

Practice address

9016 Seneca Trail
Ronceverte, WV 24970-8375

Phone

(681) 318-3477

Fax

(681) 318-3479

NPI assigned

Jan 30, 2020

Organization subpart

No

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

Authorized official

Name

Jane Leigh Bryant

Title

Manager

Phone

(681) 318-3477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21128/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Michael Shawn Johnson, DO

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1902895584
  Medicare reassignment NPD
• George Burton Bryant Jr., PAC

  • Medical Physician Assistant
  • Ronceverte, WV
  • NPI 1285625921
  NPD

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1437780269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 SENECA TRAIL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708375",
            "telephone_number": "681-318-3477",
            "fax_number": "681-318-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 SENECA TRAIL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708375",
            "telephone_number": "681-318-3477",
            "fax_number": "681-318-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE 360 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "681-318-3477"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill H Harris, MD
• Debbie Harris
• Melinda Marie Harris
• Andrew Hazelwood, DPT
• Tanya Hazelwood, LMT
• Kelsey D Henry, PHARMD
• Summer Marie Hepler, APRN-CNM
• Kara L. Hersman, SLP
• Elizabeth Lee-Anne Hobbs, AGACNP-BC
• Stephanie Lynn Holley, LMT

• Family Medicine Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.