Embrace Renewal Primary Health and Wellness, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EMBRACE RENEWAL PRIMARY HEALTH AND WELLNESS, PLLC

Practice address

6565 Fieldmont Manor Dr
Tobaccoville, NC 27050-9614

Phone

(336) 529-9569

NPI assigned

Mar 16, 2026

Last updated

Mar 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tawanna Hairston, DNP, NP-CNPI 1194789784

Title

Nurse Practitioner/Medical Provider

Phone

(336) 529-9569

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tawanna Latrice Hairston, ANP

  • Adult Health Nurse Practitioner
  • Winston Salem, NC
  • NPI 1194789784
  NPD Authorized official

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1447107669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FIELDMONT MANOR DR",
            "city": "TOBACCOVILLE",
            "state": "NC",
            "postal_code": "270509614",
            "telephone_number": "336-529-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FIELDMONT MANOR DR",
            "city": "TOBACCOVILLE",
            "state": "NC",
            "postal_code": "270509614",
            "telephone_number": "336-529-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE RENEWAL PRIMARY HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "TAWANNA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/MEDICAL PROVIDER",
        "authorized_official_telephone_number": "336-529-9569",
        "authorized_official_credential": "DNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pattie Burns Amundsen, LPC
• Jon Eric Clenney, LPN
• John Elkins
• Hope4Tomorrowllc
• Stepehn Adrian Hubbard, MD,FACEP
• Individual
• Emily J Moorefield, RN HEALTH COACH
• Ourhealth Professional Physician Group, LLC (Live Well Tobaccoville)

• Nurse Practitioner in Tobaccoville, NC
• Providers in Tobaccoville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.