Organization Active NPI

Centers for Whole Health, LLC

  • Primary Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1790001154
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CENTERS FOR WHOLE HEALTH, LLC
Practice address
2810 Bragg Blvd Ste C
Fayetteville, NC 28303-4148
Phone
(910) 605-6697
Fax
(833) 340-7315
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Pamela Lin Harris, MD
Title
Owner
Phone
(910) 605-6697

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 42673 AZ
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2810 Bragg Blvd Ste C
Fayetteville, NC 28303-4148

Mailing address

439 Westwood Shopping Ctr
Fayetteville, NC 28314-1532
Phone (910) 605-6697

Other identifiers 1

IdentifierTypeStateIssuer
487672MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2510 E Hunt Hwy
Ste 18
San Tan Vly, AZ 85143
Phone (623) 201-4747

2810 Bragg Blvd
Ste C
Fayetteville, NC 28303
Phone (910) 605-6697

439 Westwood Shpg Ctr
Fayetteville, NC 28314
Phone (910) 751-0573

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1790001154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WESTWOOD SHOPPING CTR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141532",
            "telephone_number": "910-605-6697",
            "fax_number": "910-483-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 BRAGG BLVD STE C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034148",
            "telephone_number": "910-605-6697",
            "fax_number": "833-340-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR WHOLE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-605-6697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "42673",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487672",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.