CHARLOTTE HARBOR WELLNESS P A
NPI 1215613419
Internal Medicine in Port Charlotte, FL

Q: What is Charlotte Harbor Wellness P A's NPI number?

The NPI number for Charlotte Harbor Wellness P A is 1215613419. It was assigned to this organization in the NPPES registry on June 23, 2023.

Q: What is Charlotte Harbor Wellness P A's specialty?

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

Active since June 23, 2023

2811 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 613-1919(941) 613-4077 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2023, Jun 23, 2023 (2 updates tracked since 2023).

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About Charlotte Harbor Wellness P A NPPES

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

CHARLOTTE HARBOR WELLNESS P A (NPI 1215613419) is a healthcare organization registered as an internal medicine in Port Charlotte, Florida and active in the NPI registry since June 2023. The organization lists Tetyana Metyk, Owner, as its authorized official.

NPPES Registry Identity

NPI1215613419

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCHARLOTTE HARBOR WELLNESS P A

Location Address2811 TAMIAMI TRLPort Charlotte, FL 33952-5173

Mailing Address3191 Harbor Blvd Ste DPort Charlotte, FL 33952-6755 · (941) 613-1919

Phone(941) 613-1919

Fax(941) 613-4077

Organization SubpartNo

Authorized OfficialTetyana MetykOwner · (941) 613-1919

Enumeration DateJune 23, 2023

Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1215613419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2811 TAMIAMI TRL, Port Charlotte, FL 33952

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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

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 Harbor Wellness P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charlotte Harbor Wellness P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tetyana Metyk, MD

Internal Medicine

NPI 1528354255

3191 HARBOR BLVD
Port Charlotte, FL 33952

(941) 613-1919

✔ PECOS✔ Accepts Medicare0.9 mi

Source: 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 Harbor Wellness P A's NPI number?

The NPI number for Charlotte Harbor Wellness P A is 1215613419. It was assigned to this organization in the NPPES registry on June 23, 2023.

Where is Charlotte Harbor Wellness P A located?

Charlotte Harbor Wellness P A is located at 2811 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 613-1919.

What is Charlotte Harbor Wellness P A's specialty?

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

Is Charlotte Harbor Wellness P A enrolled in Medicare?

Yes. Charlotte Harbor Wellness P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charlotte Harbor Wellness P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Charlotte Harbor Wellness P A. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charlotte Harbor Wellness P A was last updated on January 9, 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.