Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premium Wellness and Primary Care

Organization Health Service Clinic/Center · NPI 1336599547

Premium Wellness and Primary Care is a Health Service Clinic/Center in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

308 Pomona Dr Ste A
Greensboro, NC 27407-1644
Phone: (336) 553-0793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Health Service Clinic/Center Taxonomy 261QH0100X · Licence 5004483 (NC)
Health Service Clinic/Center Taxonomy 261QH0100X · Licence 5006433 (NC)

Record details

NPI number1336599547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Zellous — Practice Manager · (336) 553-0793
NPI enumeratedJune 18, 2016
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address308 Pomona Dr Ste A, Greensboro, NC 27407-1644

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