Assure Wellness Group LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0101254631 Issued in VA

Legal business name

ASSURE WELLNESS GROUP LLC

Practice address

1157 S Military Hwy
Suite 102
Chesapeake, VA 23320-2352

Phone

(866) 551-6779

Fax

(877) 404-1411

NPI assigned

Jul 23, 2016

Last updated

Jul 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Dean Cannon, PHD, PA-C

Title

Managing Director

Phone

(866) 551-6779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469232000000",
    "number": "1558814798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 S MILITARY HWY",
            "address_2": "SUITE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202352",
            "telephone_number": "866-551-6779",
            "fax_number": "877-404-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 S MILITARY HWY",
            "address_2": "SUITE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202352",
            "telephone_number": "866-551-6779",
            "fax_number": "877-404-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "866-551-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0101254631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.