Advanced Wellness Institute PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

104192 Issued in NC

Legal business name

ADVANCED WELLNESS INSTITUTE PA

Practice address

2881 NC 108 Hwy E
Columbus, NC 28722-7721

Phone

(828) 894-3494

Fax

(828) 894-5864

NPI assigned

Aug 17, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lonnie W Lassiter II, M.D.

Title

Owner

Phone

(828) 894-3494

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.

• George Bradey, PA

  • Physician Assistant
  • Columbus, NC
  • NPI 1437100823
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1932489374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 E NC 108 HWY",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227221",
            "telephone_number": "828-894-3494",
            "fax_number": "828-894-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 NC 108 HWY E",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227721",
            "telephone_number": "828-894-3494",
            "fax_number": "828-894-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-894-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acts Retirement-Life Communities Inc (Tryon Estates)
• Acts Retirement-Life Communities, Inc. (Primary Care Services at Tryon Estates)
• Acts Signature Community Services, Inc. (Primary Care Services at Tryon Estates)
• Kelli Allison Adams, FNP
• Advent Internal Medicine
• Erin Maguire Alley, PT
• Jessica Dawn Alley, PA
• Deborah Michelle Anderson, FNP
• Kristin Lee Anderson, LCMHC

• Physician Assistant in Columbus, NC
• Providers in Columbus, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.