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INTERNAL MEDICINE & WELLNESS CENTER PA
NPI 1871558262
Medical Genetics, Ph.D. Medical Genetics in Charlotte, NC

Active since April 19, 2006CLIA 34D1096198 · Microscopy
10320 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 503-1332(704) 503-7951 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Internal Medicine & Wellness Center Pa NPPES

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

INTERNAL MEDICINE & WELLNESS CENTER PA (NPI 1871558262) is a healthcare organization registered as a medical genetics, ph.d. medical genetics in Charlotte, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through February 26, 2027 and lists John William Woodward, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1871558262
Entity TypeOrganization
Primary Taxonomy170100000X
Legal Business NameINTERNAL MEDICINE & WELLNESS CENTER PA
Location Address10320 MALLARD CREEK RDCharlotte, NC 28262-9756
Mailing Address10320 Mallard Creek Rd Ste 271Charlotte, NC 28262-5204 · (045) 036-3217 · Fax (704) 503-7957
Phone(704) 503-1332
Fax(704) 503-7951
Organization SubpartNo
Authorized OfficialJohn William WoodwardOwner/president · (704) 503-6321
Enumeration DateApril 19, 2006
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1871558262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
Definition
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
10320 MALLARD CREEK RD, Charlotte, NC 28262
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Other Identifiers 2

Medicaid1508072620NC
Other6811NC · Bcbs Id

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

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1096198

Internal Medicine And Wellness Center · Charlotte, NC
Active · expires Feb 26, 2027
CLIA Number34D1096198
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorDavid S. Moss
Laboratory Phone(704) 503-1332
Laboratory LocationInternal Medicine And Wellness Center10320 Mallard Creek Rd Ste 271, Charlotte, NC 28262
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

GINA R. DAVIS DDS PA
Dentist (General Practice)
10320 MALLARD CREEK RD, SUITE 160
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-8734
DR. DAVID SCOTT MOSS M.D.
Internal Medicine
10320 MALLARD CREEK RD, STE 271
CHARLOTTE, NC 28262
Mecklenburg County (704) 503-6321
CAROLINAS PHYSICIANS NETWORK INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10320 MALLARD CREEK RD, SUITE 260
CHARLOTTE, NC 28262
Mecklenburg County (704) 549-1992
TANYA RACHELLE DUNLAP
Social Worker (Clinical)
10320 MALLARD CREEK RD, STE 240
CHARLOTTE, NC 28262
Mecklenburg County (704) 910-6142
JAZZMIN PATRICE WILLIAMS FNP
Nurse Practitioner
10320 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 900-8625
NOVANT MEDICAL GROUP, INC.
Internal Medicine
10320 MALLARD CREEK RD, SUITE 120
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-0570
DR. ROBERT HOLT FOUSHEE D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10320 MALLARD CREEK RD, SUITE 140
CHARLOTTE, NC 28262
Mecklenburg County (704) 593-1900
WILLIAM GEORGE KATIBAH III
Family Medicine
10320 MALLARD CREEK RD, SUITE 100
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-9500

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 Internal Medicine & Wellness Center PA's NPI number?

The NPI number for Internal Medicine & Wellness Center PA is 1871558262. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is Internal Medicine & Wellness Center PA located?

Internal Medicine & Wellness Center PA is located at 10320 Mallard Creek Rd, Charlotte, NC 28262. The listed phone number is (704) 503-1332.

What is Internal Medicine & Wellness Center PA's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Does Internal Medicine & Wellness Center PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1096198) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine & Wellness Center PA was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.