OrganizationActive
Preventative Wellness Solutions II, PLLC
NPI 1376296152 · Family Medicine Physician · Winston Salem, NC
Provider details
- NPI number
- 1376296152
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Kaloust, Manager(813) 228-6334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3878 Oxford Station Way
Winston Salem, NC 27103-1340
Phone: (813) 228-6334
Approximate (ZIP-level) locationGet directions
Mailing address
509 S Hyde Park Ave
Tampa, FL 33606-2266
Registry dates
- Enumerated
- 2022-02-01
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.