DOMINION HEALTH FAMILY WELLNESS CENTER
NPI 1376387340
Family Medicine in Charlotte, NC

Q: What is Dominion Health Family Wellness Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 24, 2024CLIA 34D2322380 · Waiver

10310 MALLARD CREEK RD STE 101-D, CHARLOTTE, NC 28262(980) 431-4437(980) 431-4291 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2024, Jun 24, 2024 (2 updates tracked since 2024).

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About Dominion Health Family Wellness Center NPPES

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

DOMINION HEALTH FAMILY WELLNESS CENTER (NPI 1376387340) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Emily Cooper, Owner/cmo, as its authorized official.

NPPES Registry Identity

NPI1376387340

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDOMINION HEALTH FAMILY WELLNESS CENTER

Location Address10310 MALLARD CREEK RD STE 101-DCharlotte, NC 28262-4563

Mailing Address4258 Nc Highway 49 S Unit 400Harrisburg, NC 28075-0107 · (804) 240-4500

Phone(980) 431-4437

Fax(980) 431-4291

Organization SubpartNo

Authorized OfficialEmily CooperOwner/cmo · (804) 240-4500

Enumeration DateJune 24, 2024

Last NPPES UpdateApril 28, 20252 updates tracked since enumeration

NPPES CertifiedApril 28, 2025

✔ NPI 1376387340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10310 MALLARD CREEK RD STE 101-D, Charlotte, NC 28262

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 34D2322380

Dominion Health Family Wellness Center · Charlotte, NC

Active · expires Apr 20, 2027

CLIA Number34D2322380

Laboratory TypePhysician Office

Certificate Effective DateApril 21, 2025

Certificate Expiration DateApril 20, 2027

Laboratory DirectorEmily H. Cooper

Laboratory Phone(980) 431-4437

Laboratory LocationDominion Health Family Wellness Center10310 Mallard Creek Road, Ste 101 -D, Charlotte, NC 28262

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EMILY HAYNES COOPER MD

Family Medicine

10310 MALLARD CREEK RD STE 101-D
CHARLOTTE, NC 28262

Mecklenburg County (980) 431-4437

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 Dominion Health Family Wellness Center's NPI number?

The NPI number for Dominion Health Family Wellness Center is 1376387340. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Dominion Health Family Wellness Center located?

Dominion Health Family Wellness Center is located at 10310 Mallard Creek Rd Ste 101-D, Charlotte, NC 28262. The listed phone number is (980) 431-4437.

What is Dominion Health Family Wellness Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dominion Health Family Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2322380) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dominion Health Family Wellness Center accept?

Health plans from Blue Cross and Blue Shield of NC list Dominion Health Family Wellness Center 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 Dominion Health Family Wellness Center was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.