Gwen Weller is a Pediatrics Physician practicing in Shallotte, North Carolina. The National Provider Identifier (NPI) is #1134062441, which was assigned on April 11, 2026, and the registration record was last updated on April 11, 2026. The practitioner's main practice location is at 3650 Express Dr, Shallotte, NC 28470-6501; the contact telephone number is 9107542229, and the fax number is 9107542217. The primary taxonomy of Gwen Weller is Pediatrics Physician (208000000X). Gwen Weller is licensed to practice in the state of North Carolina (#5024174).
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
| NPI | 1134062441 |
| Entity Type | Individual |
| Provider Name | GWEN WELLER |
| Gender | Female |
| Credential | FNP-C |
| Practice Address |
3650 Express Dr Shallotte NC 28470-6501 |
| Practice Telephone | 9107542229 |
| Practice Fax Number | 9107542217 |
| Mailing Address |
3650 Express Dr Shallotte NC 28470-6501 |
| Mailing Telephone | 9107542229 |
| Mailing Fax Number | 9107542217 |
| Certification Date | 2026-04-11 |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-04-11 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5024174 | NC |
| Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| Classification | Pediatrics |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Children's Healthcare Center, LLC | 510 Washington Ave, Sandersville, GA 31082-1971 | Pediatrics Physician | 2026-04-10 |
| Children's Dentistry of Lithonia LLC | 7215 Stonecrest Pkwy, Lithonia, GA 30038-2563 | Pediatrics Physician | 2026-03-26 |
| Stonewall Pediatric Health Center, LLC | 1303 S. Unversity Dr, Nacogdoches, TX 75961 | Pediatrics Physician | 2026-04-09 |
| Randolph Forbes Wykoff · Randy Wykoff | 206 Lake Meadow Dr, Johnson City, TN 37615-4015 | Pediatrics Physician | 2026-03-28 |
| James M Landers Md Plc | 20825 Mack Ave, Grosse Pointe Woods, MI 48236-1485 | Pediatrics Physician | 2026-04-06 |
| Everkind Pediatrics | 31717 Tradewinds Dr, Avon Lake, OH 44012-2915 | Pediatrics Physician | 2026-04-03 |
| Emerald Home Health LLC | 8301 White Pine Dr, Fort Worth, TX 76123-1702 | Pediatrics Physician | 2026-03-26 |
| Atlee Lambert | 2800 S 2nd St Ste B, Cabot, AR 72023-7030 | Pediatrics Physician | 2026-04-11 |
| Twilight Pediatric Medicine | 440 Asbury Rd, Freeville, NY 13068-9740 | Pediatrics Physician | 2026-03-31 |
| Giorgi Maziashvili | 450 Chew St Ste 203, Allentown, PA 18102-3434 | Pediatrics Physician | 2026-04-09 |
| Find all providers with the same taxonomy | |||
| Street Address |
3650 EXPRESS DR |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470-6501 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Madisyn Creekmore | 3650 Express Dr, South Brunswick, NC 28470-6501 | Physician Assistant | 2025-10-16 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kierra Christina Elizabeth Smith | 5272 Ocean Hwy W, Shallotte, NC 28470-4006 | Physician Assistant | 2024-12-25 |
| Faith Farris | 5272 Ocean Hwy W, Shallotte, NC 28470-4006 | Physician Assistant | 2024-07-09 |
| Blake Family Medicine PLLC | 4704 Main St, Shallotte, NC 28470-1880 | Physician Assistant | 2007-04-12 |
| Growth & Healing Center PLLC | 117 Holden Beach Rd Sw Ste 109, Shallotte, NC 28470-1787 | Clinical Social Worker | 2025-06-09 |
| Ashlee Michelle Wood | 5145 Sellers Rd, Shallotte, NC 28470-3405 | Family Nurse Practitioner | 2025-06-10 |
| Family Medical Supply LLC | 4600 Main St Ste 12, Shallotte, NC 28470-1899 | Parenteral & Enteral Nutrition Supplies (DME) | 2006-09-14 |
| Tanya Faye Bush · Tanya Faye Duncan | 512 Village Rd Ste 104, Shallotte, NC 28470-3409 | Nurse Practitioner | 2015-08-11 |
| Jordan Ryley Krumanocker | 5145 Sellers Rd, Shallotte, NC 28470-3405 | Pharmacist | 2024-08-17 |
| Allied Home Health Care, Inc. | 143 Holden Beach Rd, 1a, Shallotte, NC 28470-1917 | Nursing Care Agency | 2008-05-08 |
| Michal Krzysztof Szelwach | 5160 Ocean Hwy W, Shallotte, NC 28470-4012 | Physician Assistant | 2021-11-30 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Donald Weller | 109 Physicians Dr, Greer, SC 29650-2446 | Student in an Organized Health Care Education/Training Program | 2026-04-02 |
| Suzanne Weller | 4761 State Route 29, Celina, OH 45822-8216 | Case Manager/Care Coordinator | 2026-01-27 |
| Gwen Katherine Gostomski · Gwen Katherine Stokes | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | Dentist | 2024-07-08 |
| Segolene Weller | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | Student in an Organized Health Care Education/Training Program | 2017-04-05 |
| Sarah Gwen Goaslind Parkin | 4318 Trail Boss Dr Ste 100, Castle Rock, CO 80104-7512 | Family Medicine Physician | 2022-04-09 |
| Hilary Weller | 601 Norland Ave Ste 100, Chambersburg, PA 17201-4235 | Family Nurse Practitioner | 2019-09-06 |
| Diane Gwen Bloor-Biersach | 6040 W Lisbon Ave, Milwaukee, WI 53210-2116 | Counselor | 2006-07-21 |
| Robert Weller | 1705 Ne Pacific St, Seattle, WA 98195-0009 | Diagnostic Radiology Physician | 2020-03-30 |
| Gwen Marie Shattuck · Gwen Marie Magliocca | 2085 Henry Tecklenburg Dr, Charleston, SC 29414-7710 | Family Nurse Practitioner | 2016-10-03 |
| Gwen Eileen Simbeck · Gwen Eileen Brahler | 236 N Washington St Unit 7e, Monument, CO 80132-7185 | Professional Counselor | 2019-01-11 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |