SMITH FAMILY WELLNESS CLINIC
NPI 1053065201
Clinic/Center - Federally Qualified Health Center (FQHC) in Charlotte, NC

Q: What is Charlotte Community Health Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since February 07, 2022CLIA 34D1054068 · Microscopy

3622 CENTRAL AVE, CHARLOTTE, NC 28205(704) 316-6561(704) 384-1977 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2022, Aug 10, 2022, Feb 7, 2022 (3 updates tracked since 2022).

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About Smith Family Wellness Clinic NPPES

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

SMITH FAMILY WELLNESS CLINIC (NPI 1053065201) is a healthcare organization registered as a federally qualified health center (fqhc) in Charlotte, North Carolina and active in the NPI registry since February 2022. The organization holds a CLIA Microscopy certificate valid through February 5, 2027 and lists Stefani Priscilia Ruarte, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1053065201

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCHARLOTTE COMMUNITY HEALTH CLINIC, INC.

Location Address3622 CENTRAL AVECharlotte, NC 28205-5638

Mailing Address8401 Medical Plaza Dr Ste 300Charlotte, NC 28262-8702 · (704) 316-6561 · Fax (704) 384-1977

Phone(704) 316-6561

Fax(704) 384-1977

Organization SubpartNo

Authorized OfficialStefani Priscilia RuarteCredentialing Coordinator · (704) 316-6573

Enumeration DateFebruary 7, 2022

Last NPPES UpdateAugust 15, 20223 updates tracked since enumeration

NPPES CertifiedAugust 15, 2022

✔ NPI 1053065201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

3622 CENTRAL AVE, Charlotte, NC 28205

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Other Names 1

Other NameSmith Family Wellness Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1054068

Charlotte Community Health Clinic · Charlotte, NC

Active · expires Feb 5, 2027

CLIA Number34D1054068

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateFebruary 6, 2025

Certificate Expiration DateFebruary 5, 2027

Laboratory DirectorSveta Mohanan

Laboratory Phone(704) 384-0422

Laboratory LocationCharlotte Community Health Clinic8401 Medical Plaza Drive, Charlotte, NC 28205

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

ESMERALDA MARTINEZ

Social Worker (Clinical)