PHOENIX WELLNESS LLC
NPI 1780348789
Clinic/Center - Multi-Specialty in Fort Mill, SC

Q: What is Phoenix Wellness LLC's NPI number?

The NPI number for Phoenix Wellness LLC is 1780348789. It was assigned to this organization in the NPPES registry on October 26, 2021.

Q: What is Phoenix Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since October 26, 2021

1040 EDGEWATER CORPORATE PKWY STE 106, FORT MILL, SC 29707(704) 609-7334(855) 655-3374 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phoenix Wellness Llc NPPES

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

PHOENIX WELLNESS LLC (NPI 1780348789) is a healthcare organization registered as a multi-specialty in Fort Mill, South Carolina and active in the NPI registry since October 2021. The organization lists David N Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1780348789

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePHOENIX WELLNESS LLC

Location Address1040 EDGEWATER CORPORATE PKWY STE 106Fort Mill, SC 29707-4526

Mailing Address1600 Churchill Downs DrWaxhaw, NC 28173-6627 · (704) 609-7334 · Fax (855) 655-3374

Phone(704) 609-7334

Fax(855) 655-3374

Organization SubpartNo

Authorized OfficialDavid N SmithOwner · (704) 609-7334

Enumeration DateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1780348789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · Prison HealthTaxonomy 261QP2400X

Also ListedClinic/Center · VATaxonomy 261QV0200X

1040 EDGEWATER CORPORATE PKWY STE 106, Fort Mill, SC 29707

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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 MULTIPLE 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.

QUEENS RHEUMATOLOGY LLC

Internal Medicine (Rheumatology)

1040 EDGEWATER CORPORATE PKWY STE 106, SUITE 106
FORT MILL, SC 29707

Lancaster County (803) 913-4500

DR. DIANE TERESA GEORGE MD

Internal Medicine (Rheumatology)

1040 EDGEWATER CORPORATE PKWY STE 106
FORT MILL, SC 29707

Lancaster County (803) 913-4500

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 Phoenix Wellness LLC's NPI number?

The NPI number for Phoenix Wellness LLC is 1780348789. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Phoenix Wellness LLC located?

Phoenix Wellness LLC is located at 1040 Edgewater Corporate Pkwy Ste 106, Fort Mill, SC 29707. The listed phone number is (704) 609-7334.

What is Phoenix Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Phoenix Wellness LLC was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.