Organization Active NPI

Prestige Health & Wellness Center, PLLC

  • Primary Care Clinic/Center
  • Charlotte, NC
National Provider Identifier
1821521451
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5004878 Issued in NC
Legal business name
PRESTIGE HEALTH & WELLNESS CENTER, PLLC
Practice address
2711 Randolph Rd
Suite 207
Charlotte, NC 28207-2034
Phone
(704) 910-5982
Fax
(704) 733-9796
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Authorized official

Name
Dr. Devon M Rambert-Hairston, DNP
Title
Family Practitioner
Phone
(704) 910-5982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 5004878 NC Primary

Addresses

Primary practice location

2711 Randolph Rd
Suite 207
Charlotte, NC 28207-2034

Mailing address

2711 Randolph Rd
Suite 207
Charlotte, NC 28207-2034
Phone (704) 910-5982

Other identifiers 1

IdentifierTypeStateIssuer
7005652MedicaidNC

Other names 1

  • Strong Health & Wellness Center, PLLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492905600000",
    "number": "1821521451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "SUITE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072034",
            "telephone_number": "704-910-5982",
            "fax_number": "704-733-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "SUITE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072034",
            "telephone_number": "704-910-5982",
            "fax_number": "704-733-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTH & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-23",
        "status": "A",
        "authorized_official_last_name": "RAMBERT-HAIRSTON",
        "authorized_official_first_name": "DEVON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY PRACTITIONER",
        "authorized_official_telephone_number": "704-910-5982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "5004878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005652",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strong Health & Wellness Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; 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.