NPIMap

Organization Active NPI

Thrive Personalized Healthcare and Wellness

  • Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1881131167
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
94961 Issued in NC
Legal business name
THRIVE PERSONALIZED HEALTHCARE AND WELLNESS
Practice address
6401 Morrison Blvd
Suite 2a
Charlotte, NC 28211-3800
Phone
(704) 390-7150
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Jordan P Archer, MHA
Title
Administration
Phone
(704) 390-7150

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 01352 NC
Gynecology Physician 207VG0400X 86119 NC
Gynecology Physician 207VG0400X 94961 NC Primary

Addresses

Primary practice location

6401 Morrison Blvd
Suite 2a
Charlotte, NC 28211-3800

Mailing address

PO Box 12734
Charlotte, NC 28220-2734
Phone (704) 390-7150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1881131167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12734",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282202734",
            "telephone_number": "704-390-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 MORRISON BLVD",
            "address_2": "SUITE 2A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113800",
            "telephone_number": "704-390-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PERSONALIZED HEALTHCARE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "704-390-7150",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "01352",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "86119",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "94961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 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.