Woodbury Wellness Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0300 Issued in NC

Legal business name

WOODBURY WELLNESS CENTER INC

Practice address

2778 Country Club Dr
Hampstead, NC 28443-8028

Phone

(910) 270-1443

Fax

(910) 270-1826

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Renee Pridgen

Title

Business Office MGR

Phone

(910) 270-1443

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345349

Legal name

WOODBURY WELLNESS CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 7, 1990

Last certification

Jul 24, 2024

Beds

112

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 19, 1997 in NC

Enrollment address

2778 Country Club Dr
Hampstead, NC 28443-8028

Nursing home name

WOODBURY WELLNESS CENTER INC

Listed as

Woodbury Wellness Center IncCCN 345349 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 7, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

112103.7 residents per day on average

Penalties (3 years)

1Fines totaling $15,646

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael George Rallis, MD

  • Internal Medicine Physician
  • Hampstead, NC
  • NPI 1821151069
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael George Rallis, MD

  • Internal Medicine Physician
  • Hampstead, NC
  • NPI 1821151069

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1992793962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 COUNTRY CLUB DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438028",
            "telephone_number": "910-270-1443",
            "fax_number": "910-270-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 COUNTRY CLUB DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438028",
            "telephone_number": "910-270-1443",
            "fax_number": "910-270-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MGR",
        "authorized_official_telephone_number": "910-270-1443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0300",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NC",
            "license": "NH0300",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415349",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806631",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3426235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Wall Williams, MA
• Siana Lee Williams
• Steffany O Williams, LPT
• Wilmington Health PLLC
• Hallie Coleman Wilson, DPT
• Sydney Wren
• Gina Wyatt
• Anthony Yandolino, DPT
• Lisa Kay Yocum, PAC
• Kayla Zambron, BCBA

• Skilled Nursing Facility in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.