Medgalore Aesthetics & Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDGALORE AESTHETICS & WELLNESS

Practice address

6 Consultant PL Ste 100-a
Durham, NC 27707-3598

Phone

(919) 446-1113

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

L Barker, PA

Title

Manager

Phone

(678) 557-0207

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Latondra Stillwell-Barker, DMSC, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1245398221
  NPD

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1730895442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 WINGATE RD UNIT 48613",
            "city": "CUMBERLAND",
            "state": "NC",
            "postal_code": "283319005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CONSULTANT PL STE 100-A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073598",
            "telephone_number": "919-446-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDGALORE AESTHETICS & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-557-0207",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leann Elizabeth Meckley, MA, LCMHC-S
• Med-El Corporation
• Medactive, LLC.
• Cathleen Medellin
• Medequip Supplies LLC
• Medical Hypnosis Foundation
• Medical Supply Superstore LLC
• Cathlyn Medina, MD
• Rosario Medina, MA
• Brandon Lee Medlin

• Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.