Pure Primary Wellness and Aesthetics, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PURE PRIMARY WELLNESS AND AESTHETICS, PLLC

Practice address

215 E Jefferson St
Monroe, NC 28112-4865

Phone

(704) 283-8131

Fax

(704) 289-1954

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Anderson, PANPI 1427009471

Title

Provider

Phone

(631) 235-2578

Specialties & licenses 1

Addresses

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

Practitioners 1

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

• Elizabeth Anderson, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1427009471
  NPD Authorized official

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1497588719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E JEFFERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124865",
            "telephone_number": "704-283-8131",
            "fax_number": "704-289-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E JEFFERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124865",
            "telephone_number": "704-283-8131",
            "fax_number": "704-289-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE PRIMARY WELLNESS AND AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "631-235-2578",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Monroe, NC
• Providers in Monroe, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.