Active NPI
Premier Wellness Medical Practice, LLC
- Primary Care Clinic/Center
- Baltimore, MD
National Provider Identifier
1831041474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PREMIER WELLNESS MEDICAL PRACTICE, LLC
- Practice address
- 1501 Sulgrave Ave Ste 302
Baltimore, MD 21209-3651 - Phone
- (410) 699-9552
- Fax
- (202) 381-9979
- NPI assigned
- Feb 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Purnell, MD
- Title
- Owner/Chief Medical Officer
- Phone
- (202) 553-5791
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1501 Sulgrave Ave Ste 302
Baltimore, MD 21209-3651
Mailing address
1501 Sulgrave Ave Ste 302
Baltimore, MD 21209-3651
Phone (410) 699-9552
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1720567894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1831041474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SULGRAVE AVE STE 302",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093651",
"telephone_number": "410-699-9552",
"fax_number": "202-381-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SULGRAVE AVE STE 302",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212093651",
"telephone_number": "410-699-9552",
"fax_number": "202-381-9979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER WELLNESS MEDICAL PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "PURNELL",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER/CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "202-553-5791",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Rita Marie Preller, LCSW C
- Premier Chiropractic and Rehabilitation Center LLC
- Premier Home Care Service-East LLC
- Premier House of Compassion Assisted Living LLC
- Premier Medical Transport
- Premiere Healthcare Services, LLC
- Premiere Healthcare Services, LLC
- Premiere Therapeutic Services, LLC
- Tihana Ann Premuzic, M.D.
- Gregory John Prendergast
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.