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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (2,324 clinicians)

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 Home health agency · Shelby, NC · CCN 347317
  • Atrium Health at Home Cleveland Home health agency · Shelby, NC · CCN 347013
  • Carolinas Medical Center/Behav Health Hospital · Charlotte, NC · CCN 340113
  • Atrium Health Cleveland Hospital · Shelby, NC · CCN 340021

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100 (apm)
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 IDStateProvider typePAC IDDetails
I20140923000746 NC Practitioner - Family Practice 5698994770 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013-02406NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current
since Sep 1, 2014
Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current
since Sep 1, 2014
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

  • Direct secure messaging: mwells128764@carolinashealthcaresystem.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 15, 2024.

{
    "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

All providers in Shelby, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.