Organization Active NPI

Wellcomemd Carolina Clinic PLLC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1407538804
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLCOMEMD CAROLINA CLINIC PLLC
Practice address
8035 Providence Rd Ste 315
Charlotte, NC 28277-8909
Phone
(704) 444-9999
NPI assigned
Aug 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Ms. Jessica Parnell
Title
Director of Operations
Phone
(804) 944-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8035 Providence Rd Ste 315
Charlotte, NC 28277-8909

Mailing address

10001 Patterson Ave Ste 202
Richmond, VA 23238-5126
Phone (804) 944-1030

Other practice location 1

150 Fairview Rd Ste 325
Mooresville, NC 28117-9514
Phone (704) 444-9999

National Provider Directory

National Provider Directory

Locations

8035 Providence Rd
Ste 315
Charlotte, NC 28277
Phone (704) 444-0999

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1407538804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 PATTERSON AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385126",
            "telephone_number": "804-944-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 PROVIDENCE RD STE 315",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778909",
            "telephone_number": "704-444-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Fairview Rd Ste 325",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179514",
            "country_code": "US",
            "telephone_number": "704-444-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLCOMEMD CAROLINA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "804-944-1030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family 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 Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.