Active NPI
Wellcomemd Charlotte Clinic, Inc
- Clinic/Center
- Charlotte, NC
National Provider Identifier
1760024749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WELLCOMEMD CHARLOTTE CLINIC, INC
- Practice address
- 8035 Providence Rd Ste 315
Charlotte, NC 28277-8909 - Phone
- (704) 444-0999
- NPI assigned
- Oct 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mathew Acampora, MD
- Title
- Physician
- Phone
- (704) 444-0999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
8035 Providence Rd Ste 315
Charlotte, NC 28277-8909
Mailing address
2500 Gaskins Rd Ste a
Richmond, VA 23238-1480
Phone (804) 774-7099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VV6587H342 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessie.parnell@wellcomeMD.com | WellcomeMD Richmond Clinic Inc |
National Provider Directory
National Provider DirectoryLocations
8035 Providence Rd
Ste 315
Charlotte, NC 28277
Phone (704) 444-0999
Interoperability endpoints
- jessie.parnell@wellcomemd.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1760024749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 GASKINS RD STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232381480",
"telephone_number": "804-774-7099",
"fax_number": "804-528-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 PROVIDENCE RD STE 315",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778909",
"telephone_number": "704-444-0999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLCOMEMD CHARLOTTE CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-11",
"last_updated": "2023-11-27",
"status": "A",
"authorized_official_last_name": "ACAMPORA",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "704-444-0999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VV6587H342",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessie.parnell@wellcomeMD.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "WellcomeMD Richmond Clinic Inc",
"address_1": "8035 Providence Rd Ste 315",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282778909",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 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.