SAVANNAH ROSE WELLNESS
NPI 1093661795
Nurse Practitioner - Psychiatric/Mental Health in Carolina Beach, NC

Active since March 06, 2026
201 LUMBERTON AVE, CAROLINA BEACH, NC 28428(910) 543-3558(910) 400-2095 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Mar 27, 2026, Mar 6, 2026 (3 updates tracked since 2026).

About Savannah Rose Wellness NPPES

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

SAVANNAH ROSE WELLNESS (NPI 1093661795) is a healthcare organization registered as a psychiatric/mental health in Carolina Beach, North Carolina and active in the NPI registry since March 2026. The organization lists Heather Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1093661795
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSAVANNAH ROSE WELLNESS
Location Address201 LUMBERTON AVECarolina Beach, NC 28428-4846
Mailing Address201 Lumberton AveCarolina Beach, NC 28428-4846 · (910) 543-3558 · Fax (910) 400-2095
Fax(910) 400-2095
Organization SubpartNo
Authorized OfficialHeather BlackOwner · (910) 232-0140
Enumeration DateMarch 6, 2026
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1093661795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
201 LUMBERTON AVE, Carolina Beach, NC 28428

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Rose Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Savannah Rose Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1447850458
201 LUMBERTON AVE
Carolina Beach, NC 28428
(910) 543-3558
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Savannah Rose Wellness's NPI number?

The NPI number for Savannah Rose Wellness is 1093661795. It was assigned to this organization in the NPPES registry on March 6, 2026.

Where is Savannah Rose Wellness located?

Savannah Rose Wellness is located at 201 Lumberton Ave, Carolina Beach, NC 28428. The listed phone number is (910) 543-3558.

What is Savannah Rose Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Savannah Rose Wellness enrolled in Medicare?

Yes. Savannah Rose Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Savannah Rose Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Savannah Rose Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Savannah Rose Wellness accept?

Health plans from Blue Cross and Blue Shield of NC list Savannah Rose Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Savannah Rose Wellness was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.