Marinda A. Wells, MD
Individual provider Active NPI Family Medicine Physician · Shelby, NC
NPI 1649564394 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1649564394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2013-02406 (NC)
- Practice address
- 1124 N Washington St
Shelby, NC 28150-3862 - Phone
- (980) 487-1148
- NPI assigned
- May 30, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
1124 N Washington St
Shelby, NC 28150-3862
Phone (980) 487-1148
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
708 McBrayer Homestead Rd
Shelby, NC 28152-9532
Phone (980) 487-2090
Hospital & facility affiliations
- Centerwell Home Health
- Atrium Health at Home Cleveland
- Carolinas Medical Center/Behav Health
- Atrium Health Cleveland
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140923000746 | NC | Practitioner - Family Practice | 5698994770 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-02406 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network, Inc | Family Medicine | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
3970 W Highway 27
Lincolnton, NC 28092
Phone (704) 748-2245
708 McBrayer Homestead Rd
Shelby, NC 28152
Phone (704) 434-8123
1124 N Washington St
Shelby, NC 28150
Phone (704) 487-1148
Interoperability endpoints
- mwells128764@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013-02406 | NC | Yes |
Addresses
Primary practice location
1124 N Washington St
Shelby, NC 28150-3862
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
708 McBrayer Homestead Rd
Shelby, NC 28152-9532
Phone (980) 487-2090
Other practice location 2
3970 W Highway 27
Lincolnton, NC 28092-0710
Phone (704) 748-2245
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwells128764@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
NPI Registry JSON
{
"created_epoch": "1306713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1649564394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 N WASHINGTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503862",
"telephone_number": "980-487-1148"
}
],
"practiceLocations": [
{
"address_1": "708 McBrayer Homestead Rd",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281529532",
"country_code": "US",
"telephone_number": "980-487-2090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3970 W Highway 27",
"address_purpose": "LOCATION",
"city": "Lincolnton",
"state": "NC",
"postal_code": "280920710",
"country_code": "US",
"telephone_number": "704-748-2245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELLS",
"first_name": "MARINDA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-30",
"last_updated": "2024-07-15",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2013-02406",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwells128764@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1124 N Washington St",
"city": "Shelby",
"state": "NC",
"country_code": "US",
"postal_code": "281503862",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelby, NC
- Laura E Wellmon
- Wellness by Design
- Wellness Training Associates Inc
- Cindy Gordon Wells
- Jordan Wells
- Kimberly Ann Whalen
- Whaley Medical
- Santana Akeem Whisnant
- Tricia Whitaker
- White Oak Manor Shelby Inc
All providers in Shelby, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.