NPIMap

Organization Active NPI

Bright Diamond Medical Spa and Wellness, PLLC

  • Medical Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1629945779
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BRIGHT DIAMOND MEDICAL SPA AND WELLNESS, PLLC
Practice address
11121 Carmel Commons Blvd Ste 100
Charlotte, NC 28226-3925
Phone
(980) 506-7913
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Dr. Joy Gary, MDNPI 1316220460
Title
Owner
Phone
(980) 506-7913

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

11121 Carmel Commons Blvd Ste 100
Charlotte, NC 28226-3925

Mailing address

11121 Carmel Commons Blvd Ste 100
Charlotte, NC 28226-3925

National Provider Directory

National Provider Directory

Locations

11121 Carmel Commons Blvd
Ste 100
Charlotte, NC 28226
Phone (980) 506-7913

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1629945779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 CARMEL COMMONS BLVD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 CARMEL COMMONS BLVD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263925",
            "telephone_number": "980-506-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT DIAMOND MEDICAL SPA AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-506-7913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Oct 22, 2025; 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.