1. Home
  2. Directory
  3. South Carolina
  4. Conway
  5. Physician Assistant
  6. NPI Profile

THRIVE ESSENTIAL WELLNESS, INC.
NPI 1407342116
Physician Assistant - Medical in Conway, SC

Active since July 05, 2018
1511 9TH AVE STE A, CONWAY, SC 29526(843) 488-1894(843) 488-2786 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thrive Essential Wellness, Inc. NPPES

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

THRIVE ESSENTIAL WELLNESS, INC. (NPI 1407342116) is a healthcare organization registered as a medical in Conway, South Carolina and active in the NPI registry since July 2018. The organization lists Greg D Tallent, Pa-c, Vice President, as its authorized official.

NPPES Registry Identity

NPI1407342116
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameTHRIVE ESSENTIAL WELLNESS, INC.
Location Address1511 9TH AVE STE AConway, SC 29526-4126
Mailing Address1511 9th Ave Ste AConway, SC 29526-4126 · (843) 488-1894 · Fax (843) 488-2786
Phone(843) 488-1894
Fax(843) 488-2786
Organization SubpartNo
Authorized OfficialGreg D TallentPa-c, Vice President · (843) 251-6688
Enumeration DateJuly 5, 2018
✔ NPI 1407342116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1511 9TH AVE STE A, Conway, SC 29526
Open in Google Maps ↗

Other Identifiers 7

Medicaid1982716585SC
Other1982716585SC · Bc/bs
Other1942532023SC · Bc/bs
Other1245535574SC · Bc/bs
Other1982716586SC · Bc/bs
Medicaid1942532023SC
Medicaid1245535574SC

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

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 Thrive Essential Wellness, Inc.'s NPI number?

The NPI number for Thrive Essential Wellness, Inc. is 1407342116. It was assigned to this organization in the NPPES registry on July 5, 2018.

Where is Thrive Essential Wellness, Inc. located?

Thrive Essential Wellness, Inc. is located at 1511 9th Ave Ste A, Conway, SC 29526. The listed phone number is (843) 488-1894.

What is Thrive Essential Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Thrive Essential Wellness, Inc. was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.