NPIMap

Organization Active NPI

NC Preventative Medicine and Wellness Clinic

  • Obesity Medicine (Family Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1609294925
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
Legal business name
NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC
Practice address
309 S Sharon Amity Rd
Suite 102
Charlotte, NC 28211-2978
Phone
(704) 926-7546
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Wendy Jones
Title
Regional Business Manager
Phone
(980) 721-2675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X Primary

Addresses

Primary practice location

309 S Sharon Amity Rd
Suite 102
Charlotte, NC 28211-2978

Mailing address

309 S Sharon Amity Rd
Suite 102
Charlotte, NC 28211-2978
Phone (704) 926-7546

National Provider Directory

National Provider Directory
Tax ID family
NC Preventative Medicine and Wellness Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1609294925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112978",
            "telephone_number": "704-926-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112978",
            "telephone_number": "704-926-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "REGIONAL BUSINESS MANAGER",
        "authorized_official_telephone_number": "980-721-2675"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family 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 May 4, 2016; 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.