NPIMap

Organization Active NPI

Carolina Essential Wellness

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1669190088
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINA ESSENTIAL WELLNESS
Practice address
7940 Williams Pond LN Ste 100
Charlotte, NC 28277-8410
Phone
(704) 752-7779
NPI assigned
Aug 22, 2022
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Jody Rossi
Title
Director
Phone
(704) 752-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7940 Williams Pond LN Ste 100
Charlotte, NC 28277-8410

Mailing address

7940 Williams Pond LN Ste 100
Charlotte, NC 28277-8410
Phone (704) 752-7779

Other practice location 1

309 S Sharon Amity Rd Ste 102
Charlotte, NC 28211-2886
Phone (704) 926-7546

Other practice location 2

9920 Kincey Ave Ste 140
Huntersville, NC 28078-2401
Phone (704) 820-4197

National Provider Directory

National Provider Directory

Locations

7940 Williams Pond Ln
Ste 100
Charlotte, NC 28277
Phone (704) 752-7779

9920 Kincey Ave
Huntersville, NC 28078
Phone (704) 820-4197

9930 Kincey Ave
#140
Huntersville, NC 28078

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1669190088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 WILLIAMS POND LN STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778410",
            "telephone_number": "704-752-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 WILLIAMS POND LN STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778410",
            "telephone_number": "704-752-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 S Sharon Amity Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112886",
            "country_code": "US",
            "telephone_number": "704-926-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9920 Kincey Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280782401",
            "country_code": "US",
            "telephone_number": "704-820-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA ESSENTIAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-752-7779"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Mar 7, 2024; 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.