Dominion Health Family Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOMINION HEALTH FAMILY WELLNESS CENTER

Practice address

10310 Mallard Creek Rd Ste 101-D
Charlotte, NC 28262-4563

Phone

(980) 431-4437

Fax

(980) 431-4291

NPI assigned

Jun 24, 2024

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emily Cooper, MDNPI 1679602957

Title

Owner/Cmo

Phone

(804) 240-4500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHCFDD

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.

• Emily Haynes Cooper, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1679602957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1376387340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 NC HIGHWAY 49 S UNIT 400",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280750107",
            "telephone_number": "804-240-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 MALLARD CREEK RD STE 101-D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624563",
            "telephone_number": "980-431-4437",
            "fax_number": "980-431-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HEALTH FAMILY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER/CMO",
        "authorized_official_telephone_number": "804-240-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Doman, M.D.
• Alexander Robert Dombrowsky, MD
• Akosua B. Domfeh, M.D.
• Madison Ayers Domico, DPT
• Kenia Dominguez Navarrete, PA-C
• Marvin Ryan Domondon, D.M.D.
• Maya Domoto, LPC
• Don G. Timpton, D.D.S. & Associates, PA (Carmel Commons Dental)
• Donaco Medical Supply, LLC (HR HealthCare Patient Services)
• Alexandra Beery Donahue, PA-C

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.