Carolina Clinic for Health and Wellness PA
Organization Active NPI Family Medicine Physician · Greenville, NC
NPI 1679998348 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1679998348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROLINA CLINIC FOR HEALTH AND WELLNESS PA
- Practice address
- 2414 Emerald PL Ste 102
Greenville, NC 27834-5784 - Phone
- (252) 757-3939
- NPI assigned
- Mar 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Gwendolyn Knuckles
- Title
- Owner
- Phone
- (252) 830-1035
Practitioners 16
-
William J. Albrecht Jr., PH.D
-
Tiara Little Garcia, FNP
-
Nell Murphy Woodroffe, ARNP
-
Caleb Frett, NP
-
Gary C Jones, MD
-
Shaniqua McGraw, M.D.
-
Shyamal K Mitra, MD
-
Sandra M Parks, FNP-BC
-
Donna Butler Rackley, PMHNP-BC
-
Lee A. Surkin, M.D.
-
Jennifer Folden Bragaw, FNP-BC
-
Willeen Allen Roy, FNP-C
-
Shamika Spencer, ANP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140820000465 | NC | Part B Supplier - Clinic/Group Practice | 7810115631 |
Receives reassigned benefits from 15 practitioners Practice locations: Greenville, NC |
National Provider Directory
Locations
2414 Emerald Pl
Ste 102
Greenville, NC 27834
Phone (252) 757-3939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Nuclear Cardiology Physician |
207UN0901X | |||
| Gynecology Physician |
207VG0400X |
Addresses
Primary practice location
2414 Emerald PL Ste 102
Greenville, NC 27834-5784
Mailing address
2414 Emerald PL
Greenville, NC 27834-5784
Phone (252) 757-3939
Other providers in Greenville, NC
- Carolina Arthritis Center, PA
- Carolina Assessment and Treatment Services
- Carolina Breast & Oncologic Surgery PLLC
- Carolina Breast Imaging Specialists PLLC
- Carolina Children'S Heart Specialists
- Carolina Counseling PLLC
- Carolina Diagnostics Inc
- Carolina Digestive Diseases, PA
- Carolina Digestive Diseases, PA
- Carolina Digestive, LLC
All providers in Greenville, 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 Oct 28, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.