CENTERWELL SENIOR PRIMARY CARE (NC) JV, P.C.
NPI 1477373991
Internal Medicine in Charlotte, NC

Active since October 10, 2024CLIA 34D2292662 · Waiver
5617 ALBEMARLE RD, CHARLOTTE, NC 28212(980) 326-2700 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Centerwell Senior Primary Care (nc) Jv, P.c. NPPES

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

CENTERWELL SENIOR PRIMARY CARE (NC) JV, P.C. (NPI 1477373991), doing business as Centerwell Senior Primary Care (nc) Jv, P.c. - Sheffield Park, is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1477373991
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NC) JV, P.C.
Location Address5617 ALBEMARLE RDCharlotte, NC 28212-3611
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateOctober 10, 2024
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
NPI 1477373991 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 ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
5617 ALBEMARLE RD, Charlotte, NC 28212

Other Names 1

Doing Business AsCenterwell Senior Primary Care (nc) Jv, P.c. - Sheffield Park

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

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 34D2292662

Centerwell Senior Primary Care (nc) Jv, PC - Sheffield Park · Charlotte, NC
Active · expires Oct 26, 2027
CLIA Number34D2292662
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorZuhair Abualrihy
Laboratory Phone(980) 326-2700
Laboratory LocationCenterwell Senior Primary Care (nc) Jv, PC - Sheffield Park5617 Albemarle Rd, Charlotte, NC 28212
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Non-Pharmacy Dispensing Site
5617 ALBEMARLE RD
CHARLOTTE, NC 28212
Internal Medicine
5617 ALBEMARLE RD
CHARLOTTE, NC 28212
Physician Assistant
5617 ALBEMARLE RD
CHARLOTTE, NC 28212
Internal Medicine
5617 ALBEMARLE RD
CHARLOTTE, NC 28212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477373991, enumerated as an "organization" on October 10, 2024.

The provider is located at 5617 ALBEMARLE RD CHARLOTTE, NC 28212 and the phone number is (980) 326-2700.

Internal Medicine with taxonomy code 207R00000X.