Orion Wellness Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ORION WELLNESS INC

Practice address

4024 Oleander Dr Ste 101
Wilmington, NC 28403-6814

Phone

(910) 620-2625

Fax

(432) 287-8521

NPI assigned

Sep 7, 2017

Last updated

Mar 3, 2023By 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

John Nielsen, PA-CNPI 1760465298

Title

Owner

Phone

(910) 620-2625

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John William Nielsen, PA

  • Medical Physician Assistant
  • Wilmington, NC
  • NPI 1760465298
  NPD Authorized official

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1689192932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 OLEANDER DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036814",
            "telephone_number": "910-620-2625",
            "fax_number": "432-287-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 OLEANDER DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036814",
            "telephone_number": "910-620-2625",
            "fax_number": "432-287-8521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 Canterwood Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017300",
            "country_code": "US",
            "telephone_number": "910-362-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORION WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-620-2625",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.