Active NPI
Integrative Rheumatology PLLC
- Rheumatology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 2013-01881
- Legal business name
- INTEGRATIVE RHEUMATOLOGY PLLC
- Practice address
- 10826 Mallard Creek Rd Ste 100
Charlotte, NC 28262-7785 - Phone
- (704) 774-3044
- Fax
- (704) 774-3045
- NPI assigned
- Nov 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Albert Withers II, MD
- Title
- Owner/Chief Executive Officer
- Phone
- (919) 475-9243
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 2013-01881 | NC | Primary |
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
10826 Mallard Creek Rd Ste 100
Charlotte, NC 28262-7785
Mailing address
10826 Mallard Creek Rd Ste 100
Charlotte, NC 28262-7785
Phone (704) 774-3044
Other practice location 1
3125 Springbank Lane
Suite E
Charlotte, NC 28226-3379
Phone (704) 774-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902358294 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2146865 | Integrative Rheumatology, PLLC | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Charlotte, NC
- NPI 1598928202
-
- Physician Assistant
- Durham, NC
- NPI 1144828310
-
- Physician Assistant
- Charlotte, NC
- NPI 1356806038
-
- Public Health & General Preventive Medicine Physician
- Charlotte, NC
- NPI 1275249971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1902358294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10826 MALLARD CREEK RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282627785",
"telephone_number": "704-774-3044",
"fax_number": "704-774-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10826 MALLARD CREEK RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282627785",
"telephone_number": "704-774-3044",
"fax_number": "704-774-3045"
}
],
"practiceLocations": [
{
"address_1": "3125 Springbank Lane",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282263379",
"country_code": "US",
"telephone_number": "704-774-3044",
"fax_number": "704-774-3045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGRATIVE RHEUMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-02",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "WITHERS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "919-475-9243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "2013-01881",
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902358294",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
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- Integrative Lifestyle Counseling & Consulting PLLC
- Integrative Massage Concepts of Charlotte,Inc
- Integrative Renewal Health PLLC
- Integrative Solutions of the Carolinas, Inc.
- Integrative Therapeutic Counseling Services
- Integricare Home Health LLC
- Integrity Care Services Inc.
- Integrity Counseling and Consulting Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.