Archwell Health Professional Services of North Carolina, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARCHWELL HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA, P.C.

Practice address

3022 Eastway Dr Ste 1-3
Charlotte, NC 28205-5642

Phone

(704) 251-8228

NPI assigned

May 11, 2021

Last updated

Jan 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Lucas

Title

Chief Administrative Officer

Phone

(615) 419-0947

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 22

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.

• Jennifer Rortvedt Brienza, NP

  • Gerontology Nurse Practitioner
  • Greensboro, NC
  • NPI 1801627849
  Medicare reassignment Care Compare group NPD
• Luis Eduardo Guillen-Hernandez, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1639832124

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Havon Knight, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1972617744
  Medicare reassignment Care Compare group NPD
• Sandra Hope Raymore, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1649771114
  Medicare reassignment Care Compare group NPD
• Jennifer Uyemenam Udom, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1942790373
  Medicare reassignment Care Compare group NPD
• Raja Kumari Vaidadi, M.D

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1588918395
  Medicare reassignment Care Compare group NPD
• Conrad Donald Braaten, DO

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1144661174
  Medicare reassignment NPD
• Pamela Denise Bradley, AGNP

  • Adult Health Nurse Practitioner
  • Winston Salem, NC
  • NPI 1154846566
  Medicare reassignment NPD
• Allison Brooke Combs, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Greensboro, NC
  • NPI 1861852196
  Medicare reassignment NPD
• Ashley Creed Corbett, DNP

  • Adult Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1063990869
  Medicare reassignment NPD
• Jaydev Jani, MD

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1851559942
  Medicare reassignment NPD
• Kenya P McIntosh, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1396768578
  Medicare reassignment NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1881278299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 EASTWAY DR STE 1-3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055642",
            "telephone_number": "704-251-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Randleman Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274066628",
            "country_code": "US",
            "telephone_number": "336-910-9376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 Silas Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271275627",
            "country_code": "US",
            "telephone_number": "336-910-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274085112",
            "country_code": "US",
            "telephone_number": "336-962-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5740 N Graham St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282694839",
            "country_code": "US",
            "telephone_number": "704-251-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCHWELL HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "615-419-0947"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Architech Sports & Physical Therapy
• Architech Sports and Physical Therapy, LLC
• Architech Sports and Physical Therapy, LLC
• Architech Sports and Physical Therapy, LLC
• Architech Sports and Physical Therapy, LLC
• Gustavo Arcia, PTA
• Arclp-Charlotte, LLC (Brookdale Carriage Club Providence)
• Arcus Medical, LLC
• Rhonda Sue Ardelean, PA
• Ardent Path Counseling and Clinical Consultation

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.