Organization Active NPI

Integrative Rheumatology PLLC

  • Rheumatology Physician
  • Charlotte, NC
National Provider Identifier
1902358294
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2013-01881 Issued in NC
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

Updated by the provider on May 14, 2026

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

Authorized official

Name
Dr. Charles Albert Withers II, MDNPI 1598928202
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)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1902358294MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170131002101 NC Part B Supplier - Clinic/Group Practice 2365724127 Receives reassigned benefits from 4 practitioners
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2146865Integrative Rheumatology, PLLC10826 Mallard Creek Road, Suite 100, Charlotte, NC 28262Certificate of waiverFeb 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "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

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.

Verify at the official NPI Registry.