Active NPI
Omni Wellness Center PLLC
Doing business as Omni Wellness Center
- Chiropractor
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- OMNI WELLNESS CENTER PLLC
- Doing business as
- Omni Wellness Center
- Practice address
- 10220 Couloak Dr
Charlotte, NC 28216-7678 - Phone
- (704) 392-9999
- Fax
- (704) 392-9913
- NPI assigned
- Nov 16, 2007
- Last updated
- Dec 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyshia Allen, DC
- Title
- Owner
- Phone
- (704) 392-9999
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
10220 Couloak Dr
Charlotte, NC 28216-7678
Mailing address
10220 Couloak Dr
Charlotte, NC 28216-7678
Phone (704) 392-9999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679068464 | Medicaid | NC | |
| 1811485378 | Medicaid | NC | |
| 5908653 | Medicaid | NC |
Other names 1
- Omni Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10030 Callabridge Ct
Ste C
Charlotte, NC 28216
Phone (704) 392-9999
10220 Couloak Dr
Charlotte, NC 28216
Phone (704) 392-9999
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Chiropractor
- Charlotte, NC
- NPI 1811485378
-
- Chiropractor
- Monroe, NC
- NPI 1861264111
-
- Chiropractor
- Charlotte, NC
- NPI 1679068464
-
- Chiropractor
- Charlotte, NC
- NPI 1740390970
-
- Chiropractor
- Charlotte, NC
- NPI 1083781868
-
- Chiropractor
- Charlotte, NC
- NPI 1366999476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1639350770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10220 COULOAK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282167678",
"telephone_number": "704-392-9999",
"fax_number": "704-392-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 COULOAK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282167678",
"telephone_number": "704-392-9999",
"fax_number": "704-392-9913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI WELLNESS CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "TYSHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-392-9999",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679068464",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811485378",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908653",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Omni Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.