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CENTERWELL SENIOR PRIMARY CARE- WILKINSON
NPI 1831836758
Internal Medicine in Charlotte, NC

Active since May 13, 2022CLIA 34D2264859 · Waiver
3512 WILKINSON BLVD STE 130, CHARLOTTE, NC 28208(980) 999-2964(877) 691-5325 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Oct 20, 2022, May 13, 2022 (3 updates tracked since 2022).

About Centerwell Senior Primary Care- Wilkinson NPPES

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

CENTERWELL SENIOR PRIMARY CARE- WILKINSON (NPI 1831836758) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1831836758
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE NC JV PC
Location Address3512 WILKINSON BLVD STE 130Charlotte, NC 28208-5698
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(980) 999-2964
Fax(877) 691-5325
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMay 13, 2022
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1831836758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
3512 WILKINSON BLVD STE 130, Charlotte, NC 28208
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Other Names 2

Doing Business AsCenterwell Senior Primary Care- Wilkinson
Former Legal Business NameCenterwell Senior Primary Care Nc Pc

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 34D2264859

Centerwell Senior Primary Care-Wilkinson · Charlotte, NC
Active · expires Jul 19, 2028
CLIA Number34D2264859
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorErica Savage-Jeter
Laboratory Phone(980) 999-2964
Laboratory LocationCenterwell Senior Primary Care-Wilkinson3512 Wilkinson Blvd. Suite 130, Charlotte, NC 28208
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 2

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

MARGARET O ERHABOR APRN
Nurse Practitioner (Family)
3512 WILKINSON BLVD STE 130
CHARLOTTE, NC 28208
Mecklenburg County (980) 999-2964
DR. JERELL DIEGO CHUA MPH, D.O.
Family Medicine
3512 WILKINSON BLVD STE 130
CHARLOTTE, NC 28208
Mecklenburg County (980) 999-2964

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 Centerwell Senior Primary Care Nc Jv PC's NPI number?

The NPI number for Centerwell Senior Primary Care Nc Jv PC is 1831836758. It was assigned to this organization in the NPPES registry on May 13, 2022. The provider is doing business as Centerwell Senior Primary Care- Wilkinson. The provider was formerly known as CenterWell Senior Primary Care NC PC.

Where is Centerwell Senior Primary Care Nc Jv PC located?

Centerwell Senior Primary Care Nc Jv PC is located at 3512 Wilkinson Blvd Ste 130, Charlotte, NC 28208. The listed phone number is (980) 999-2964.

What is Centerwell Senior Primary Care Nc Jv PC's specialty?

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

Does Centerwell Senior Primary Care Nc Jv PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2264859) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Nc Jv PC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.