Jerell Diego Chua, MPH, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2023-03221 Issued in NC

Practice address

3512 Wilkinson Blvd Ste 130
Charlotte, NC 28208-5698

Phone

(980) 999-2964

Fax

(877) 691-5325

NPI assigned

May 21, 2009

Last updated

Apr 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Osteopathic Manipulative Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care NC JV PCGroup PAC ID 0345614384, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerell.chua.1@29601.direct.athenahealth.com
• Direct secure messaging: jerell.chua.p1@direct.ncfmc.nextgenshare.com
• Direct secure messaging: jerell.chua@centerwell.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerwell Senior Primary Care NC JV PC

  dba CenterWell Senior Primary Care-University City

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1366181943

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care (NC) PC

  dba CenterWell Senior Primary Care-Gastonia

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1073034625

  Family Medicine

  Medicare reassignment NPD
• Centerwell Senior Primary Care (NC) JV, P.C.

  dba CenterWell Senior Primary Care (NC) JV, P.C. - Sheffield Park

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1477373991

  Family Medicine

  NPD
• Centerwell Senior Primary Care (NC), P.C.

  dba CenterWell Senior Primary Care (NC), P.C. - Burlington

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1497575997

  Family Medicine

  NPD
• Centerwell Senior Primary Care NC JV PC

  dba CenterWell Senior Primary Care- Wilkinson

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1831836758

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gaston Memorial Hospital, Incorporated

  dba CaroMont Regional Medical Center

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1962637827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 WILKINSON BLVD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085698",
            "telephone_number": "980-999-2964",
            "fax_number": "877-691-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 WILKINSON BLVD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085698",
            "telephone_number": "980-999-2964",
            "fax_number": "877-691-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "JERELL",
        "middle_name": "DIEGO",
        "name_prefix": "Dr.",
        "credential": "MPH, D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-03221",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerell.chua.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "jerell.chua.1@29601.direct.athenahealth.com",
            "address_1": "3512 Wilkinson Blvd Ste 130",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282085698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CHS Pharmacy Services, Inc. (Atrium Health Pharmacy SouthPark)
• CHS Pharmacy Services, Inc. (CarolinaCARE)
• CHS Pharmacy Services, Inc. (Atrium Health Specialty Pharmacy)
• Annie Chu, MD
• Annabelle Nancy Chua, M.D.
• Whinley Hassett Quan Chua, RPT
• Peale Chuang, M.D.
• Amy Vinod Chudgar, MD
• Chisohlm Ibezim Chukwu, MD
• Jeffrey Chukwuneke, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.