Organization Active NPI

Primary Care and Wellness of Tulsa, PLLC

Doing business as Beyond Primary Care

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1982422309
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE AND WELLNESS OF TULSA, PLLC
Doing business as
Beyond Primary Care
Practice address
3202 S Memorial Dr Ste 9
Tulsa, OK 74145-1323
Phone
(918) 221-0335
NPI assigned
Oct 3, 2024
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Paige Wilson
Title
Healthcare Administrator
Phone
(918) 221-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3202 S Memorial Dr Ste 9
Tulsa, OK 74145-1323

Mailing address

3202 S Memorial Dr Ste 9
Tulsa, OK 74145-1323
Phone (918) 221-0335

Other names 1

  • Beyond Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250428002318 OK Part B Supplier - Clinic/Group Practice 2365968823 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2313255Primary Care and Wellness of Tulsa, PLLC3202 S Memorial Dr, Ste 9, Tulsa, OK 74145Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

3202 S Memorial Dr
Ste 8
Tulsa, OK 74145

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": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1982422309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-221-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S MEMORIAL DR STE 9",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451323",
            "telephone_number": "918-221-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND WELLNESS OF TULSA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
        "authorized_official_telephone_number": "918-221-0335"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beyond Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.