Organization Active NPI

Wellcomemd Charlotte Clinic, Inc

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1760024749
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Nov 27, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
VV6587H342MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessie.parnell@wellcomeMD.com WellcomeMD Richmond Clinic Inc

National Provider Directory

National Provider Directory

Locations

8035 Providence Rd
Ste 315
Charlotte, NC 28277
Phone (704) 444-0999

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.