Southeast Medspa Laser & Wellness

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SOUTHEAST MEDSPA LASER & WELLNESS

Practice address

2076 NC 42
Suite 200
Clayton, NC 27520

Phone

(919) 243-8146

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Angel Turlington, NP

Title

Owner

Phone

(919) 243-8146

Specialties & licenses 1

Addresses

Other names 1

• Southeast Aesthetics & Wellness Doing business as

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1477259406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 NC 42",
            "address_2": "SUITE 200",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-243-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 NC 42",
            "address_2": "SUITE 200",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-243-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDSPA LASER & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "TURLINGTON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-243-8146",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Aesthetics & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Cavin Smith, DPT
• Victoria Ruth Neighbors Smith
• Smithfield East Health Holdings, LLC
• Erica Brooke Soltau, COTA/L
• Caitlin Somarriba, DPT
• Southeast Women'S Center, PLLC
• Southern Living Family Dentistry
• Southtrust Homecare LLC
• Jennetta Hill Spears, PT, DPT
• Speech Works of NC, PLLC

• Health Maintenance Organization in Clayton, NC
• Providers in Clayton, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.