NPIMap

Organization Active NPI

Infinite Wellness of the Carolinas

  • Internal Medicine Physician
  • Monroe, NC
National Provider Identifier
1902150832
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INFINITE WELLNESS OF THE CAROLINAS
Practice address
2160 Commerce Dr Ste B
Monroe, NC 28110-2839
Phone
(704) 282-9300
NPI assigned
Oct 30, 2012
Last updated
Feb 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Authorized official

Name
Tamara H Lockhart, DCNPI 1760430292
Title
Billing
Phone
(704) 453-6335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Neurology Physician 2084N0400X

Addresses

Primary practice location

2160 Commerce Dr Ste B
Monroe, NC 28110-2839

Mailing address

103 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 792-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130122000527 NC Part B Supplier - Clinic/Group Practice 2466605662 Receives reassigned benefits from 7 practitioners
Practice locations: Concord, NC; Monroe, NC
O20130226000420 NC DME Supplier - Physician - General Practice 2466605662 Practice locations: Monroe, NC

National Provider Directory

National Provider Directory

Locations

103 Country Club Dr NE
Ste 110
Concord, NC 28025

2530 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 282-9300

Practitioners & affiliated clinicians

Practitioners 9

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1902150832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COUNTRY CLUB DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252935",
            "telephone_number": "704-792-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 COMMERCE DR STE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102839",
            "telephone_number": "704-282-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE WELLNESS OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "704-453-6335",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.