Extivita Healthcare PLLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

EXTIVITA HEALTHCARE PLLC

Practice address

2012 TW Alexander Drive
Durham, NC 27709

Phone

(919) 354-3775

Fax

(919) 354-3776

NPI assigned

Mar 12, 2026

Organization subpart

No

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

Authorized official

Name

Wes Edwards

Title

Ceo

Phone

(336) 681-4319

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1740137413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 TW ALEXANDER DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27709",
            "telephone_number": "919-354-3775",
            "fax_number": "919-354-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 TW ALEXANDER DRIVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27709",
            "telephone_number": "919-354-3775",
            "fax_number": "919-354-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTIVITA HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-681-4319"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Durham, NC
• Providers in Durham, NC by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.