Organization Active NPI

Strivemd

  • Family Medicine Physician
  • Waxhaw, NC
National Provider Identifier
1497410005
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STRIVEMD
Practice address
9817 Suzanne CT Ste a
Waxhaw, NC 28173-6976
Phone
(704) 412-4124
NPI assigned
Nov 8, 2021
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Julie Howson, MDNPI 1417140211
Title
President
Phone
(704) 412-4124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X
Family Medicine Physician 207Q00000X Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X

Addresses

Primary practice location

9817 Suzanne CT Ste a
Waxhaw, NC 28173-6976

Mailing address

9817 Suzanne CT Ste a
Waxhaw, NC 28173-6976
Phone (704) 412-4124

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eClinicalWorks

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211210001880 NC Part B Supplier - Clinic/Group Practice 6204226921 Receives reassigned benefits from 2 practitioners
Practice locations: Waxhaw, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2244071Strivemd9817 Suzanne Court Suite a, Waxhaw, NC 28173Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

9817 Suzanne Ct
Waxhaw, NC 28173
Phone (704) 412-4124

9817 Suzanne Ct
Ste A
Waxhaw, NC 28173
Phone (704) 412-4124

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1497410005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9817 SUZANNE CT STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736976",
            "telephone_number": "704-412-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9817 SUZANNE CT STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736976",
            "telephone_number": "704-412-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIVEMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "HOWSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-412-4124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eClinicalWorks",
            "affiliation": "N",
            "address_1": "9817 Suzanne Ct Ste A",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281736976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.