Access Direct Primary Care, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ACCESS DIRECT PRIMARY CARE, PLLC

Practice address

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

Phone

(248) 587-6037

NPI assigned

Sep 19, 2023

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. Yenny Vander Waerden, MD

Title

Member

Phone

(510) 506-3200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Joy Elaine Gary, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1316220460
  NPD (past)

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1639957889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 BLAKENEY PARK DR STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775658"
        },
        {
            "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": "248-587-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "VANDER WAERDEN",
        "authorized_official_first_name": "YENNY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "510-506-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accelerated Elevation
• Accelerating Community Services LLC
• Accent Intermediary Services, LLC
• Acceptwc
• Access Care Medical, PLLC
• Access Family Services
• Access Family Services, Inc
• Access Healthcare PCS Services Inc
• Access Healthcare Services Inc (Access Healthcare Services)
• Accesshome Healthcare Inc

• 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.