Organization
PREMIERE HEALTH AND WELLNESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENUS IDETTE PITTS MD (OWNER)
(919) 416-4700
Entity
Organization
Contact information
Practice address
1020 RANKIN ST, SUITE 412, WILMINGTON, NC 28401-3700
(919) 416-4700
(919) 416-0821
Mailing address
2609 N DUKE ST, SUITE 403, DURHAM, NC 27704-3048
(919) 416-4700
(919) 416-0821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900644
NC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
9900644
NC
207RB0002X
Obesity Medicine (Internal Medicine) Physician
9900644
NC
208000000X
Pediatrics Physician
9900644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2026035A
MEDICARE ID
NC
05
—
89136E4
—
NC
Enumeration date
01/06/2016
Last updated
01/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us