Organization Active NPI

Mindwell PLLC

Doing business as Mindwell Health Charlotte

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1760291488
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MINDWELL PLLC
Doing business as
Mindwell Health Charlotte
Practice address
2700 Coltsgate Rd Ste 106
Charlotte, NC 28211-3573
Phone
(864) 735-5357
NPI assigned
Jan 7, 2025
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MINDWELL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Jarod Motley, MDNPI 1578644704
Title
Owner
Phone
(864) 735-5357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

2700 Coltsgate Rd Ste 106
Charlotte, NC 28211-3573

Mailing address

16 Mills Ave Ste 6
Greenville, SC 29605-4065
Phone (864) 735-5357

Other names 1

  • Mindwell Health Charlotte Doing business as

National Provider Directory

National Provider Directory
Part of
Mindwell PLLC

Locations

16 Mills Ave
Ste 6
Greenville, SC 29605
Phone (864) 242-5678

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1760291488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MILLS AVE STE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054065",
            "telephone_number": "864-735-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 COLTSGATE RD STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113573",
            "telephone_number": "864-735-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDWELL PLLC",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "JAROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-735-5357",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindwell Health Charlotte",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindwell Health Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 9, 2025; 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.