BLISS HOME BASED PRIMARY MEDICAL CARE
NPI 1699428607
Nurse Practitioner - Primary Care in Charlotte, NC

Q: What is Bliss Home Based Primary Medical Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since January 31, 2022CLIA 34D2318504 · Waiver

1213 W MOREHEAD ST FL 5, CHARLOTTE, NC 28208(980) 730-2307(980) 730-2308 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, May 25, 2022, Jan 31, 2022 (3 updates tracked since 2022).

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About Bliss Home Based Primary Medical Care NPPES

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

BLISS HOME BASED PRIMARY MEDICAL CARE (NPI 1699428607) is a healthcare organization registered as a primary care in Charlotte, North Carolina and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Renae Walton, Dnp, Fnp-bc, Aprn, as its authorized official.

NPPES Registry Identity

NPI1699428607

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameBLISS HOME BASED PRIMARY MEDICAL CARE

Location Address1213 W MOREHEAD ST FL 5Charlotte, NC 28208-5576

Mailing Address1213 W Morehead St Fl 5Charlotte, NC 28208-5576 · (980) 730-2307 · Fax (980) 730-2308

Phone(980) 730-2307

Fax(980) 730-2308

Organization SubpartNo

Authorized OfficialRenae WaltonDnp, Fnp-bc, Aprn · (980) 730-2307

Enumeration DateJanuary 31, 2022

Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1699428607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

1213 W MOREHEAD ST FL 5, Charlotte, NC 28208

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Other Names 1

Doing Business AsBliss Home Based Primary Medical Care

Other Identifiers 1

Medicaid7004187NC

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 34D2318504

Bliss Home Based Primary Medical Care · Charlotte, NC

Active · expires Feb 11, 2027

CLIA Number34D2318504

Laboratory TypeHome Health Agency

Certificate Effective DateFebruary 12, 2025

Certificate Expiration DateFebruary 11, 2027

Laboratory DirectorRenae Walton

Laboratory Phone(704) 579-1415

Laboratory LocationBliss Home Based Primary Medical Care1213 W Morehead Street Floor 5, Charlotte, NC 28208

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 6

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

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