PRIMECARE MEDICAL CENTER
NPI 1013974864
Clinic/Center - Primary Care in Charlotte, NC
About Primecare Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMECARE MEDICAL CENTER (NPI 1013974864) is a healthcare organization registered as a primary care in Charlotte, North Carolina and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through November 10, 2026 and lists Jerri Olszewski, Billing Representative, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primecare Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Primecare Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Accreditation 34D0940480
Prime Care Medical Center · Charlotte, NCFrequently 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 Bomray Medical Clinic's NPI number?
The NPI number for Bomray Medical Clinic is 1013974864. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Primecare Medical Center.
Where is Bomray Medical Clinic located?
Bomray Medical Clinic is located at 3627 Beatties Ford Rd, Charlotte, NC 28216. The listed phone number is (704) 335-0806.
What is Bomray Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Bomray Medical Clinic enrolled in Medicare?
Yes. Bomray Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bomray Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Bomray Medical Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bomray Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 34D0940480) is associated with this NPI, valid through November 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bomray Medical Clinic accept?
Health plans from Blue Cross and Blue Shield of NC list Bomray Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bomray Medical Clinic was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Primecare Medical Center · NPI 1013974864
Primary Care organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since April 26, 2006.
## Identity
- **NPI:** 1013974864 (Entity type: Organization)
- **Enumerated:** April 26, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Bomray Medical Clinic
- **Organization subpart:** No
- **Authorized official:** Jerri Olszewski, BILLING REPRESENTATIVE
## Practice location
- **Address:** 3627 BEATTIES FORD RD, Charlotte, NC 28216-3249
- **Phone:** (704) 335-0806 · **Fax:** (704) 334-2073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2010
- **Other identifiers:** Medicaid 890271W (NC); Medicare ID-Type Unspecified 2321578 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013974864) · Data from the CMS NPPES public registry.