FAITH MEDICAL CENTER P.C.
NPI 1992947766
Clinic/Center in Charlotte, NC

Active since March 25, 2009CLIA 34D1102693 · Certificate of Compliance
3626 LATROBE DR, CHARLOTTE, NC 28211(704) 366-7182(704) 366-7184 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Faith Medical Center P.c. NPPES

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

FAITH MEDICAL CENTER P.C. (NPI 1992947766) is a healthcare organization registered as a clinic/center in Charlotte, North Carolina and active in the NPI registry since March 2009. The organization holds a CLIA Certificate of Compliance certificate valid through June 19, 2028, maintains a secondary practice location in Mooresville, and lists Joel A Onafowokan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1992947766
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFAITH MEDICAL CENTER P.C.
Location Address3626 LATROBE DRCharlotte, NC 28211-1388
Mailing Address3626 Latrobe DrCharlotte, NC 28211-1388 · (704) 366-7182 · Fax (704) 366-7184
Fax(704) 366-7184
Organization SubpartNo
Authorized OfficialJoel A OnafowokanMedical Director · (704) 771-8400
Enumeration DateMarch 25, 2009
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1992947766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · 200401292
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
3626 LATROBE DR, Charlotte, NC 28211

Secondary Practice Location 1

Location 1170 Medical Park Rd Ste 303Mooresville, NC 28117-8541 · Phone (704) 677-7547 · Fax (980) 444-0863

Other Identifiers 2

Medicaid5902366NC
Other1406KNC · Bluecross Blueshield Of North Carolina

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faith Medical Center P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20171220002794DME · Physician - General PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Faith Medical Center P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1700027307
3626 LATROBE DR
Charlotte, NC 28211
(704) 366-7182
✔ PECOSSame address
Internal Medicine
NPI 1790745495
3626 LATROBE DR
Charlotte, NC 28211
(704) 366-7182
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023885944
4913 ALBEMARLE RD STE 102
Charlotte, NC 28205
(704) 371-1489
✔ PECOS✔ Accepts Medicare1.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 34D1102693

Faith Medical Center · Charlotte, NC
Active · expires Jun 19, 2028
CLIA Number34D1102693
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorDr. Joel A. Onafowokan
Laboratory Phone(704) 771-8400
Laboratory LocationFaith Medical Center3626 Latrobe Drive, Suite 100, Charlotte, NC 28211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Faith Medical Center P.C.'s NPI number?

The NPI number for Faith Medical Center P.C. is 1992947766. It was assigned to this organization in the NPPES registry on March 25, 2009.

Where is Faith Medical Center P.C. located?

Faith Medical Center P.C. is located at 3626 Latrobe Dr, Charlotte, NC 28211. The listed phone number is (704) 366-7182.

What is Faith Medical Center P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Faith Medical Center P.C. enrolled in Medicare?

Yes. Faith Medical Center P.C. is registered in the Medicare PECOS enrollment system.

When is Faith Medical Center P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Physician - General Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Faith Medical Center P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Faith Medical Center P.C., in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Faith Medical Center P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D1102693) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Faith Medical Center P.C. accept?

Health plans from Blue Cross and Blue Shield of NC list Faith Medical Center P.C. 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 Faith Medical Center P.C. was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.