Waxhaw Medical Wellness, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WAXHAW MEDICAL WELLNESS, PLLC

Practice address

8015 Farmbrook Dr
Waxhaw, NC 28173-7123

Phone

(704) 264-4582

NPI assigned

Mar 18, 2020

Organization subpart

No

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

Authorized official

Name

Heather E Shiflett, PANPI 1619901568

Title

Ceo

Phone

(704) 264-4582

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Elizabeth Shiflett, PA-C

  • Physician Assistant
  • Fort Mill, SC
  • NPI 1619901568
  NPD Authorized official

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1831725217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 FARMBROOK DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737123",
            "telephone_number": "704-264-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 FARMBROOK DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737123",
            "telephone_number": "704-264-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXHAW MEDICAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "SHIFLETT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-264-4582",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Ward III, D.C.
• Shannon Ashleigh Ward
• Ashley Watje
• Katherine Watson
• Waxhaw Family Vision Care OD, PLLC
• Jessica Weathersbee, PA
• Amy Stanley Weaver, PT
• Frances C. Westlund, OTR/L
• Derek Whalen, PA-C
• Ann Marie Whaley, M.S., CCC-SLP

• Family Medicine Physician in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.