PREMIUM WELLNESS AND PRIMARY CARE
NPI 1336599547
Nurse Practitioner - Primary Care in Greensboro, NC
About Premium Wellness And Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIUM WELLNESS AND PRIMARY CARE (NPI 1336599547) is a healthcare organization registered as a primary care in Greensboro, North Carolina and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Monica Dianne Zellous, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Premium Wellness And Primary Care 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 Premium Wellness And Primary Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2120159
Premium Wellness And Primary Care · Greensboro, NCFrequently 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 Premium Wellness And Primary Care's NPI number?
The NPI number for Premium Wellness And Primary Care is 1336599547. It was assigned to this organization in the NPPES registry on June 18, 2016.
Where is Premium Wellness And Primary Care located?
Premium Wellness And Primary Care is located at 308 Pomona Dr Ste A, Greensboro, NC 27407. The listed phone number is (336) 553-0793.
What is Premium Wellness And Primary Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Premium Wellness And Primary Care enrolled in Medicare?
Yes. Premium Wellness And Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premium Wellness And Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Premium Wellness And Primary Care. 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.
Does Premium Wellness And Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2120159) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Premium Wellness And Primary Care accept?
Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Premium Wellness And Primary Care 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 Premium Wellness And Primary Care was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Premium Wellness And Primary Care · NPI 1336599547
Primary Care organization in Greensboro, North Carolina. Organization record, active in the CMS NPPES registry since June 18, 2016.
## Identity
- **NPI:** 1336599547 (Entity type: Organization)
- **Enumerated:** June 18, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Monica Zellous, PRACTICE MANAGER
## Practice location
- **Address:** 308 POMONA DR STE A, Greensboro, NC 27407-1644
- **Phone:** (336) 553-0793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2024
- **Other identifiers:** Medicaid 8975633 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336599547) · Data from the CMS NPPES public registry.