WELLCOMEMD NC CLINIC PLLC
NPI 1013525278
Internal Medicine in Mooresville, NC

Q: What is Wellcomemd Nc Clinic PLLC's NPI number?

The NPI number for Wellcomemd Nc Clinic PLLC is 1013525278. It was assigned to this organization in the NPPES registry on July 14, 2020.

Q: What is Wellcomemd Nc Clinic PLLC's specialty?

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

Active since July 14, 2020CLIA 34D2187775 · Waiver

111 KILSON DR STE 201, MOORESVILLE, NC 28117(704) 444-0999(980) 498-7007 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wellcomemd Nc Clinic Pllc NPPES

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

WELLCOMEMD NC CLINIC PLLC (NPI 1013525278) is a healthcare organization registered as an internal medicine in Mooresville, North Carolina and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Jessica Parnell, Regional Director Of Practice Manag, as its authorized official.

NPPES Registry Identity

NPI1013525278

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWELLCOMEMD NC CLINIC PLLC

Location Address111 KILSON DR STE 201Mooresville, NC 28117-8218

Mailing Address2500 Gaskins Rd Ste ARichmond, VA 23238-1480 · (704) 444-0999 · Fax (980) 498-7007

Phone(704) 444-0999

Fax(980) 498-7007

Organization SubpartNo

Authorized OfficialJessica ParnellRegional Director Of Practice Manag · (804) 256-8205

Enumeration DateJuly 14, 2020

NPPES CertifiedJuly 14, 2020

✔ NPI 1013525278 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.

111 KILSON DR STE 201, Mooresville, NC 28117

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2187775

Wellcomemd Nc Clinic PLLC · Cornelius, NC

Active · expires Jul 7, 2028

CLIA Number34D2187775

Laboratory TypePhysician Office

Certificate Effective DateJuly 8, 2026

Certificate Expiration DateJuly 7, 2028

Laboratory DirectorCharity Kates

Laboratory Phone(704) 444-0999

Laboratory LocationWellcomemd Nc Clinic PLLC19410 Jetton Road Suite 102, Cornelius, NC 28031

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISA ANN GRIMMIUS MA, LCMHCA, NCC

Counselor (Mental Health)