NC Wellness

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

814002694 Issued in NC

Legal business name

NC WELLNESS

Practice address

511 Dr Martin Luther King Jr Dr N
Ahoskie, NC 27910-7615

Phone

(252) 209-0489

NPI assigned

Sep 30, 2016

Last updated

Sep 30, 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

Becky Lewter, MD

Title

Doctor

Phone

(252) 209-0489

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1609325653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 DR MARTIN LUTHER KING JR DR N",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279107615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 DR MARTIN LUTHER KING JR DR N",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279107615",
            "telephone_number": "252-209-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "LEWTER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "252-209-0489",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "814002694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81-4002694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Health Maintenance Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.