PREMIER GYNECOLOGY & WELLNESS, PLLC
NPI 1720578313
Clinic/Center - Medical Specialty in Charlotte, NC

Q: What is Premier Gynecology & Wellness, PLLC's NPI number?

The NPI number for Premier Gynecology & Wellness, PLLC is 1720578313. It was assigned to this organization in the NPPES registry on May 18, 2018.

Q: What is Premier Gynecology & Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since May 18, 2018CLIA 34D2153604 · Waiver

2310 RANDOLPH RD STE B, CHARLOTTE, NC 28207(704) 650-7156(855) 695-6439 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Nov 12, 2018, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

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About Premier Gynecology & Wellness, Pllc NPPES

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

PREMIER GYNECOLOGY & WELLNESS, PLLC (NPI 1720578313) is a healthcare organization registered as a medical specialty in Charlotte, North Carolina and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Elizabeth Box Moran, Owner, as its authorized official.

NPPES Registry Identity

NPI1720578313

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NamePREMIER GYNECOLOGY & WELLNESS, PLLC

Location Address2310 RANDOLPH RD STE BCharlotte, NC 28207-1526

Mailing Address2310 Randolph Rd Ste BCharlotte, NC 28207-1526

Phone(704) 650-7156

Fax(855) 695-6439

Organization SubpartNo

Authorized OfficialElizabeth Box MoranOwner · (704) 650-7156

Enumeration DateMay 18, 2018

Last NPPES UpdateJune 11, 20194 updates tracked since enumeration

✔ NPI 1720578313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in NC · 2008-00351

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2310 RANDOLPH RD STE B, Charlotte, NC 28207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 34D2153604

Premier Gynecology & Wellness, PLLC · Charlotte, NC

Active · expires Aug 27, 2026

CLIA Number34D2153604

Laboratory TypePhysician Office

Certificate Effective DateAugust 28, 2024

Certificate Expiration DateAugust 27, 2026

Laboratory DirectorElizabeth B. Moran

Laboratory Phone(704) 650-7156

Laboratory LocationPremier Gynecology & Wellness, PLLC2310 - B Randolph Road, Charlotte, NC 28207

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

WHITNEY SIMMONS HOAG WHNP

Nurse Practitioner (Women's Health)

2310 RANDOLPH RD STE B
CHARLOTTE, NC 28207

Mecklenburg County (704) 650-7156

ELIZABETH BOX MORAN MD

Obstetrics & Gynecology

2310 RANDOLPH RD STE B
CHARLOTTE, NC 28207

Mecklenburg County (704) 650-7156

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 Premier Gynecology & Wellness, PLLC's NPI number?

The NPI number for Premier Gynecology & Wellness, PLLC is 1720578313. It was assigned to this organization in the NPPES registry on May 18, 2018.

Where is Premier Gynecology & Wellness, PLLC located?

Premier Gynecology & Wellness, PLLC is located at 2310 Randolph Rd Ste B, Charlotte, NC 28207. The listed phone number is (704) 650-7156.

What is Premier Gynecology & Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Premier Gynecology & Wellness, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2153604) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Gynecology & Wellness, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Premier Gynecology & Wellness, 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 Premier Gynecology & Wellness, PLLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.