Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
NPI 1053957118
Clinic/Center in Winston Salem, NC

Q: What is Ourhealth Professional Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 25, 2019

950 REYNOLDS BLVD BLDG 611-12, WINSTON SALEM, NC 27105(336) 777-4786 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, Nov 25, 2019 (2 updates tracked since 2019).

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About Ourhealth Professional Physician Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC (NPI 1053957118), doing business as Livewell Health Center- Bowman, is a healthcare organization registered as a clinic/center in Winston Salem, North Carolina and active in the NPI registry since November 2019. The organization lists Terry Layman, Owner, as its authorized official.

NPPES Registry Identity

NPI1053957118

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameOURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC

Location Address950 REYNOLDS BLVD BLDG 611-12Winston Salem, NC 27105-3450

Mailing Address20 Winooski Falls WayWinooski, VT 05404-2228 · (802) 857-0400

Phone(336) 777-4786

Organization SubpartNo

Authorized OfficialTerry LaymanOwner · (866) 434-3255

Enumeration DateNovember 25, 2019

Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1053957118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

950 REYNOLDS BLVD BLDG 611-12, Winston Salem, NC 27105

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Other Names 1

Doing Business AsLivewell Health Center- Bowman

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ourhealth Professional Physician Group, LLC's NPI number?

The NPI number for Ourhealth Professional Physician Group, LLC is 1053957118. It was assigned to this organization in the NPPES registry on November 25, 2019. The provider is doing business as LiveWell Health Center- Bowman.

Where is Ourhealth Professional Physician Group, LLC located?

Ourhealth Professional Physician Group, LLC is located at 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105. The listed phone number is (336) 777-4786.

What is Ourhealth Professional Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Ourhealth Professional Physician Group, LLC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.