Organization
CREATE U MEDICAL WEIGHT LOSS, PLLC
Active
Organization
CREATE U MEDICAL WEIGHT LOSS, PLLC
Active
Other names
CU Infusion, Create U Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JACKSON (CEO)
(704) 781-8170
Entity
Organization
Contact information
Practice address
10210 HICKORYWOOD HILL AVE STE 200, HUNTERSVILLE, NC 28078-3417
(704) 781-8170
Mailing address
400 GILEAD RD STE 651, HUNTERSVILLE, NC 28078-6899
(704) 781-8170
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053556399
NPI
—
01
—
1487948154
NPI
—
Enumeration date
12/09/2021
Last updated
07/13/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up