PREMIER GYNECOLOGY & WELLNESS, PLLC
NPI 1720578313
Clinic/Center - Medical Specialty in Charlotte, NC
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, 2028 and lists Elizabeth Box Moran, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Premier Gynecology & Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Premier Gynecology & Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 34D2153604
Premier Gynecology & Wellness, PLLC · Charlotte, 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 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.
Is Premier Gynecology & Wellness, PLLC enrolled in Medicare?
Yes. Premier Gynecology & Wellness, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Gynecology & Wellness, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Gynecology & Wellness, PLLC. 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. The largest specialties are Obstetrics/Gynecology (3) and Nurse Practitioner (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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.
# Premier Gynecology & Wellness, Pllc · NPI 1720578313
Medical Specialty organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since May 18, 2018.
## Identity
- **NPI:** 1720578313 (Entity type: Organization)
- **Enumerated:** May 18, 2018
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Moran, OWNER
## Practice location
- **Address:** 2310 RANDOLPH RD STE B, Charlotte, NC 28207-1526
- **Phone:** (704) 650-7156 · **Fax:** (855) 695-6439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (3), Nurse Practitioner (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720578313) · Data from the CMS NPPES public registry.