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PO POWELL MANAGEMENT GROUP, LLC
NPI 1760053581
Internal Medicine in Wallace, NC

Active since July 02, 2021
112 MEDICAL VILLAGE DR STE F, WALLACE, NC 28466(910) 665-1780(910) 665-1780 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Po Powell Management Group, Llc NPPES

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

PO POWELL MANAGEMENT GROUP, LLC (NPI 1760053581) is a healthcare organization registered as an internal medicine in Wallace, North Carolina and active in the NPI registry since July 2021. The organization lists Maryanna Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1760053581
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePO POWELL MANAGEMENT GROUP, LLC
Location Address112 MEDICAL VILLAGE DR STE FWallace, NC 28466-1665
Mailing Address4350 Nc Hwy 11Willard, NC 28478-7006 · (910) 552-1580 · Fax (910) 665-1780
Phone(910) 665-1780
Fax(910) 665-1780
Organization SubpartNo
Authorized OfficialMaryanna JohnsonOwner · (910) 552-1580
Enumeration DateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
✔ NPI 1760053581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
112 MEDICAL VILLAGE DR STE F, Wallace, NC 28466
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC
Clinic/Center (Primary Care)
112 MEDICAL VILLAGE DR STE F
WALLACE, NC 28466
Duplin County (910) 285-0940
SAMUEL H WEATHERFORD PA-C
Physician Assistant (Medical)
112 MEDICAL VILLAGE DR STE F
WALLACE, NC 28466
Duplin County (910) 285-0940

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 PO Powell Management Group, LLC's NPI number?

The NPI number for PO Powell Management Group, LLC is 1760053581. It was assigned to this organization in the NPPES registry on July 2, 2021.

Where is PO Powell Management Group, LLC located?

PO Powell Management Group, LLC is located at 112 Medical Village Dr Ste F, Wallace, NC 28466. The listed phone number is (910) 665-1780.

What is PO Powell Management Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for PO Powell Management Group, LLC was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.