NPIMap

Organization Active NPI

Elev8 MD Wellness Center

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1811474976
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELEV8 MD WELLNESS CENTER
Practice address
8000 Corporate Center Dr Ste 212
Charlotte, NC 28226-4205
Phone
(855) 863-5388
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Diana Lynn Newby-Boyd, MDNPI 1891871778
Title
Co-Founder
Phone
(901) 834-6271

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8000 Corporate Center Dr Ste 212
Charlotte, NC 28226-4205

Mailing address

9217 Clerkenwell Dr
Waxhaw, NC 28173-6788
Phone (901) 834-6271

National Provider Directory

National Provider Directory

Locations

8000 Corporate Center Dr
Ste 212
Charlotte, NC 28226
Phone (704) 441-4941

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1811474976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 CLERKENWELL DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736788",
            "telephone_number": "901-834-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CORPORATE CENTER DR STE 212",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264205",
            "telephone_number": "855-863-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEV8 MD WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "NEWBY-BOYD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "901-834-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Jul 23, 2018; 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.