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JOSEPH S WOLYNIAK DO
NPI 1053390856
General Practice in Charlotte, NC

Active since January 11, 2006PECOS Enrolled
7004 SMITH CORNERS BLVD, SUITE A, CHARLOTTE, NC 28269(704) 688-9650(704) 688-9651 Get Directions Write a Review

NPPES record last updated: November 7, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph S Wolyniak Do NPPES

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

JOSEPH S WOLYNIAK DO (NPI 1053390856) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (9600781) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053390856
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSEPH S WOLYNIAKCredential: DO
Location Address7004 SMITH CORNERS BLVD, SUITE ACharlotte, NC 28269-3793
Mailing Address7004 Smith Corners Blvd, Suite ACharlotte, NC 28269-3793 · (704) 688-9650 · Fax (704) 688-9651
Phone(704) 688-9650
Fax(704) 688-9651
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateNovember 7, 2011
✔ NPI 1053390856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 9600781
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License 9600781 (NC)
7004 SMITH CORNERS BLVD, Charlotte, NC 28269
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Other Identifiers 4

Medicare UPING28367NC
Medicaid8989001NC
Medicare ID-Type Unspecified2224989ANC
Medicare PIN370021782

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph S Wolyniak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Wolyniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promed Healthcare, PLLC
Same address
Urgent Care
7004 SMITH CORNERS BLVD, SUITE A
Charlotte, NC 28269
  • Reassigned Medicare billing, North Carolina enrollment
  • 18 clinicians in this Medicare group
NPI 1750572368 (704) 688-9650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

SAMANTHA CAMPBELL
Social Worker
7004 SMITH CORNERS BLVD
CHARLOTTE, NC 28269
Mecklenburg County (704) 291-9267
PROMED HEALTHCARE, PLLC
Clinic/Center (Urgent Care)
7004 SMITH CORNERS BLVD, SUITE A
CHARLOTTE, NC 28269
Mecklenburg County (704) 688-9650
MRS. JAMIE ALISSA FLOYD PA-C
Physician Assistant
7004 SMITH CORNERS BLVD, SUITE A
CHARLOTTE, NC 28269
Mecklenburg County (704) 688-9650

Frequently 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 Joseph Wolyniak's NPI number?

The NPI number for Joseph Wolyniak is 1053390856. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Joseph Wolyniak located?

Joseph Wolyniak practices at 7004 Smith Corners Blvd Suite A, Charlotte, NC 28269. The listed phone number is (704) 688-9650.

What is Joseph Wolyniak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Joseph Wolyniak enrolled in Medicare?

Yes. Joseph Wolyniak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Wolyniak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Wolyniak reassigns Medicare benefits to Promed Healthcare, PLLC (Charlotte, NC). The 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 Joseph Wolyniak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Wolyniak was last updated on November 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.