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WENDOVER PRIMARY CARE CLINIC, PLLC
NPI 1780053082
Family Medicine in Charlotte, NC

Active since September 17, 2015
5109 MONROE RD STE E, CHARLOTTE, NC 28205(704) 364-4216(704) 366-6391 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2025, Jul 1, 2025, Nov 10, 2022 and 4 more (7 updates tracked since 2015).

About Wendover Primary Care Clinic, Pllc NPPES

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

WENDOVER PRIMARY CARE CLINIC, PLLC (NPI 1780053082) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since September 2015. The organization lists Rene Chike Anikwue, President, as its authorized official.

NPPES Registry Identity

NPI1780053082
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWENDOVER PRIMARY CARE CLINIC, PLLC
Location Address5109 MONROE RD STE ECharlotte, NC 28205-7878
Mailing Address5109 Monroe Rd Ste ECharlotte, NC 28205-7879 · (704) 900-5194 · Fax (833) 974-2188
Phone(704) 364-4216
Fax(704) 366-6391
Organization SubpartNo
Authorized OfficialRene Chike AnikwuePresident · (704) 900-5194
Enumeration DateSeptember 17, 2015
Last NPPES UpdateDecember 10, 20257 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1780053082 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.
5109 MONROE RD STE E, Charlotte, NC 28205
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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 34D2152957

Wendover Primary Care Clinic, PLLC · Charlotte, NC
Expired · Aug 20, 2026
CLIA Number34D2152957
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorRene Anikwue
Laboratory Phone(704) 364-4216
Laboratory LocationWendover Primary Care Clinic, PLLC5109 Monroe Rd, Ste E, Charlotte, NC 28205
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.

RENE CHIKE ANIKWUE MD
Family Medicine
5109 MONROE RD STE E
CHARLOTTE, NC 28205
Mecklenburg County (704) 364-4216

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 Wendover Primary Care Clinic, PLLC's NPI number?

The NPI number for Wendover Primary Care Clinic, PLLC is 1780053082. It was assigned to this organization in the NPPES registry on September 17, 2015.

Where is Wendover Primary Care Clinic, PLLC located?

Wendover Primary Care Clinic, PLLC is located at 5109 Monroe Rd Ste E, Charlotte, NC 28205. The listed phone number is (704) 364-4216.

What is Wendover Primary Care Clinic, PLLC's specialty?

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

What insurance does Wendover Primary Care Clinic, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Wendover Primary Care Clinic, PLLC 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 Wendover Primary Care Clinic, PLLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.