Organization Active NPI

Abundant Health & Vitality Associates PLLC

  • Obesity Medicine (Internal Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1366014540
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
ABUNDANT HEALTH & VITALITY ASSOCIATES PLLC
Practice address
5970 Fairview Rd Ste 700
Charlotte, NC 28210-2114
Phone
(704) 997-6661
NPI assigned
Jul 15, 2021
Last updated
Jan 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Melody Covington, MDNPI 1063774461
Title
Medical Director
Phone
(704) 997-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X Primary

Addresses

Primary practice location

5970 Fairview Rd Ste 700
Charlotte, NC 28210-2114

Mailing address

5970 Fairview Rd Ste 700
Charlotte, NC 28210-2114
Phone (704) 997-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429000401 NC Part B Supplier - Clinic/Group Practice 1254857691 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

5970 Fairview Rd
Ste 700
Charlotte, NC 28210
Phone (704) 997-6661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673136000000",
    "number": "1366014540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD STE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102114",
            "telephone_number": "704-997-9661",
            "fax_number": "704-765-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD STE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102114",
            "telephone_number": "704-997-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH & VITALITY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-997-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.