PREVENTATIVE WELLNESS SOLUTIONS I PLLC
NPI 1356005805
Family Medicine in Summerfield, NC

Active since October 29, 2021CLIA 34D2241980 · Waiver
4446 US HIGHWAY 220 N STE E, SUMMERFIELD, NC 27358(336) 290-6669 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Dec 29, 2022 (2 updates tracked since 2022).

About Preventative Wellness Solutions I Pllc NPPES

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

PREVENTATIVE WELLNESS SOLUTIONS I PLLC (NPI 1356005805) is a healthcare organization registered as a family medicine in Summerfield, North Carolina and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Jodi Despoy, Secretary And Treasurer, as its authorized official.

NPPES Registry Identity

NPI1356005805
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREVENTATIVE WELLNESS SOLUTIONS I PLLC
Location Address4446 US HIGHWAY 220 N STE ESummerfield, NC 27358-9415
Mailing Address509 S Hyde Park AveTampa, FL 33606-2266 · (813) 228-6334
Organization SubpartNo
Authorized OfficialJodi DespoySecretary And Treasurer · (813) 228-6334
Enumeration DateOctober 29, 2021
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1356005805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
4446 US HIGHWAY 220 N STE E, Summerfield, NC 27358

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

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 34D2241980

Preventative Wellness Solutions I, PLLC · Summerfield, NC
Active · expires Nov 2, 2027
CLIA Number34D2241980
Laboratory TypeMedical Weight Loss
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorDr. John Ryan Ligeon
Laboratory Phone(336) 290-6669
Laboratory LocationPreventative Wellness Solutions I, PLLC4446 Us Highway 220 North Suite E, Summerfield, NC 27358
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4446 US HIGHWAY 220 N STE E
SUMMERFIELD, NC 27358

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 Preventative Wellness Solutions I PLLC's NPI number?

The NPI number for Preventative Wellness Solutions I PLLC is 1356005805. It was assigned to this organization in the NPPES registry on October 29, 2021.

Where is Preventative Wellness Solutions I PLLC located?

Preventative Wellness Solutions I PLLC is located at 4446 Us Highway 220 N Ste E, Summerfield, NC 27358. The listed phone number is (336) 290-6669.

What is Preventative Wellness Solutions I PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Preventative Wellness Solutions I PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2241980) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Preventative Wellness Solutions I PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Preventative Wellness Solutions I PLLC 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 Preventative Wellness Solutions I PLLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.