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CENTERWELL SENIOR PRIMARY CARE-GASTONIA
NPI 1073034625
Internal Medicine in Gastonia, NC

Active since July 05, 2017CLIA 34D2134367 · Waiver
2910 E FRANKLIN BLVD, 1, GASTONIA, NC 28056(704) 648-0460(855) 446-7146 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2024, May 14, 2024, Oct 20, 2022 and 6 more (9 updates tracked since 2017).

About Centerwell Senior Primary Care-gastonia NPPES

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

CENTERWELL SENIOR PRIMARY CARE-GASTONIA (NPI 1073034625) is a healthcare organization registered as an internal medicine in Gastonia, North Carolina and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1073034625
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NC) PC
Location Address2910 E FRANKLIN BLVD, 1Gastonia, NC 28056-7725
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(704) 648-0460
Fax(855) 446-7146
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJuly 5, 2017
Last NPPES UpdateJuly 3, 20249 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1073034625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
2910 E FRANKLIN BLVD, 1, Gastonia, NC 28056
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Other Names 1

Doing Business AsCenterwell Senior Primary Care-gastonia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 of Waiver 34D2134367

Centerwell Senior Primary Care Gastonia · Gastonia, NC
Active · expires Jul 31, 2027
CLIA Number34D2134367
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorErica L. Savage-Jeter
Laboratory Phone(704) 648-0460
Laboratory LocationCenterwell Senior Primary Care Gastonia2910 East Franklin Boulevard #1, Gastonia, NC 28056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Centerwell Senior Primary Care (nc) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (nc) PC is 1073034625. It was assigned to this organization in the NPPES registry on July 5, 2017. The provider is doing business as Centerwell Senior Primary Care-Gastonia.

Where is Centerwell Senior Primary Care (nc) PC located?

Centerwell Senior Primary Care (nc) PC is located at 2910 E Franklin Blvd, 1, Gastonia, NC 28056. The listed phone number is (704) 648-0460.

What is Centerwell Senior Primary Care (nc) PC's specialty?

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

Does Centerwell Senior Primary Care (nc) PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2134367) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centerwell Senior Primary Care (nc) PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Centerwell Senior Primary Care (nc) PC 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 Centerwell Senior Primary Care (nc) PC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.