CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
NPI 1073367249
Clinic/Center - Federally Qualified Health Center (FQHC) in Charlotte, NC
About Charlotte Community Health Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLOTTE COMMUNITY HEALTH CLINIC, INC. (NPI 1073367249) is a healthcare organization registered as a federally qualified health center (fqhc) in Charlotte, North Carolina and active in the NPI registry since April 2024. The organization lists Lisa M Holmes, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Charlotte Community Health Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Charlotte Community Health Clinic, Inc., which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 29Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Charlotte Community Health Clinic, Inc.'s NPI number?
The NPI number for Charlotte Community Health Clinic, Inc. is 1073367249. It was assigned to this organization in the NPPES registry on April 15, 2024.
Where is Charlotte Community Health Clinic, Inc. located?
Charlotte Community Health Clinic, Inc. is located at 3400 Shamrock Dr, Charlotte, NC 28215. The listed phone number is (704) 316-6561.
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.
Is Charlotte Community Health Clinic, Inc. enrolled in Medicare?
Yes. Charlotte Community Health Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charlotte Community Health Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 6 Medicare specialties reassign their Medicare billing to Charlotte Community Health Clinic, Inc.. 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. The largest specialties are Nurse Practitioner (9), Dentist (7) and Clinical Social Worker (4). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Charlotte Community Health Clinic, Inc. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Charlotte Community Health Clinic, Inc. 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 Charlotte Community Health Clinic, Inc. was last updated on May 1, 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.
# Charlotte Community Health Clinic, Inc. · NPI 1073367249
Federally Qualified Health Center (FQHC) organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since April 15, 2024.
## Identity
- **NPI:** 1073367249 (Entity type: Organization)
- **Enumerated:** April 15, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Charlotte Community Health Clinic, Inc.)
- **Authorized official:** Lisa Holmes, CHIEF OPERATIONS OFFICER
## Practice location
- **Address:** 3400 SHAMROCK DR, Charlotte, NC 28215-3212
- **Phone:** (704) 316-6561 · **Fax:** (704) 384-1977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Dentist (7), Clinical Social Worker (4); 17 practice within 10 miles; [full list](https://npiprofile.com/npi/1073367249/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1073367249) · Data from the CMS NPPES public registry.