Organization Active NPI

Hormonal Health and Wellness Center, P.a.

  • General Practice Physician
  • Huntersville, NC
National Provider Identifier
1548401888
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
27047 Issued in NC
Legal business name
HORMONAL HEALTH AND WELLNESS CENTER, P.A.
Practice address
16600 Birkdale CMNS Pkwy
Suite D
Huntersville, NC 28078-6181
Phone
(704) 896-1876
Fax
(704) 624-3841
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. George Loren Gaunt, M.D., PH.D.
Title
President
Phone
(704) 896-1876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 27047 NC Primary

Addresses

Primary practice location

16600 Birkdale CMNS Pkwy
Suite D
Huntersville, NC 28078-6181

Mailing address

16600 Birkdale CMNS Pkwy
Suite D
Huntersville, NC 28078-6181
Phone (704) 896-1876

Other identifiers 1

IdentifierTypeStateIssuer
27047OtherNCNC MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

16600 Birkdale Commons Pkwy
Ste D
Huntersville, NC 28078
Phone (704) 564-0300

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1548401888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE CMNS PKWY",
            "address_2": "SUITE D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181",
            "telephone_number": "704-896-1876",
            "fax_number": "704-624-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE CMNS PKWY",
            "address_2": "SUITE D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181",
            "telephone_number": "704-896-1876",
            "fax_number": "704-624-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORMONAL HEALTH AND WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "GAUNT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-896-1876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "27047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "27047",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.