White Diamond Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2015-00770 Issued in NC

Legal business name

WHITE DIAMOND MEDICAL CLINIC

Practice address

6225 Blakeney Park Dr Ste B
Charlotte, NC 28277-5658

Phone

(704) 542-9833

Fax

(704) 542-9833

NPI assigned

Nov 18, 2015

Last updated

Oct 2, 2023By 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. Joy Elaine White, MD

Title

Owner/Medical Director

Phone

(248) 587-6037

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1437523131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BLAKENEY PARK DR STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775658",
            "telephone_number": "704-542-9833",
            "fax_number": "704-542-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DIAMOND MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-587-6037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-00770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Denyse Whitaker-Brown, FNP
• Dominicka Whitaker, LCAS
• Paige Lillian Whitaker
• Stacey Cunningham Whitaker
• Jasmine Whitby, OTD, OTR/L
• White Magnolia Services Inc
• White Oak Manor Charlotte Inc (White Oak Manor Charlotte)
• Aaryah White
• Adrian J White, LCSW, LCAS
• Alexander Bruce White, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.