Gilead Medical and Wellness Clinic, PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

GILEAD MEDICAL AND WELLNESS CLINIC, PLLC

Practice address

500 Benson Rd Ste 115
Garner, NC 27529-3947

Phone

(214) 727-8681

Fax

(984) 246-2005

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Keynadomnicia Udenze, NP

Title

Owner

Phone

(214) 727-8681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1497306112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BENSON RD STE 115",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293947",
            "telephone_number": "214-727-8681",
            "fax_number": "984-246-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BENSON RD STE 115",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293947",
            "telephone_number": "214-727-8681",
            "fax_number": "984-246-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Dabney Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275363565",
            "country_code": "US",
            "telephone_number": "214-727-8681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GILEAD MEDICAL AND WELLNESS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "UDENZE",
        "authorized_official_first_name": "KEYNADOMNICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-727-8681",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Neal Gatlin
• Lexi Nicole Geiger, PA-C
• Gilbert Mbeo LLC
• Addison Gilbert
• Hannah Jane Gilbert, M.S., CCC-SLP
• Kayleigh Ann Gilmore, PA-C
• Jessica Gnagy
• Gayl Gobourne, MLT
• Richard Godfrey, DDS
• Megan Louise Golden, DPT

• Adult Health Nurse Practitioner in Garner, NC
• Providers in Garner, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.