Centerwell Senior Primary Care Nc Jv Pc - Medicare Primary Care in Charlotte, NC

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Centerwell Senior Primary Care Nc Jv Pc is a medicare enrolled primary clinic (Internal Medicine) in Charlotte, North Carolina. The current practice location for Centerwell Senior Primary Care Nc Jv Pc is 8727 Jw Clay Blvd, Charlotte, North Carolina. For appointments, you can reach them via phone at (980) 999-1831. The mailing address for Centerwell Senior Primary Care Nc Jv Pc is 6101 Blue Lagoon Dr Ste 200, Miami, Florida and phone number is (980) 999-1831.

Centerwell Senior Primary Care Nc Jv Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366181943. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (980) 999-1831.

Contact Information

Centerwell Senior Primary Care Nc Jv Pc
8727 Jw Clay Blvd
Charlotte
NC 28262-5417
(980) 999-1831
(877) 536-8312

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care Nc Jv Pc
SpecialityInternal Medicine
Location8727 Jw Clay Blvd, Charlotte, North Carolina
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care Nc Jv Pc
6101 Blue Lagoon Dr Ste 200
Miami
FL 33126-3168

Ph: (980) 999-1831		Centerwell Senior Primary Care Nc Jv Pc
8727 Jw Clay Blvd
Charlotte
NC 28262-5417

Ph: (980) 999-1831

NPI Details:

NPI Number1366181943
Provider Enumeration Date06/01/2022
Last Update Date02/11/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0345614384
Medicare Enrollment IDO20230315000375

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care Nc Jv Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366181943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
332900000XNon-pharmacy Dispensing Site (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care Nc Jv Pc acts as a billing entity for following providers:
Provider NameJane L Swan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609866532
PECOS PAC ID: 5092733329
Enrollment ID: I20051105000310
Provider NameAmir Z Ansari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477507713
PECOS PAC ID: 0345234282
Enrollment ID: I20070730000327
Provider NameBrian Anthony Walker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619949617
PECOS PAC ID: 7911943881
Enrollment ID: I20080521000676
Provider NameChristel N Keisler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831384189
PECOS PAC ID: 2668524752
Enrollment ID: I20090721000529
Provider NameElie M Osta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861468902
PECOS PAC ID: 4284697376
Enrollment ID: I20100728000676
Provider NameAhunna N Okwubunka Anyim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023216199
PECOS PAC ID: 5092803866
Enrollment ID: I20130823000458
Provider NameSusanna Marie Shepard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003992058
PECOS PAC ID: 0244479913
Enrollment ID: I20131008000156
Provider NameChristina Xiong Linart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710224332
PECOS PAC ID: 3971744038
Enrollment ID: I20160224001415
Provider NameMiesha Kindell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306202742
PECOS PAC ID: 7911201926
Enrollment ID: I20171010003125
Provider NameBrandi Lynn Stone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326416835
PECOS PAC ID: 5799047379
Enrollment ID: I20180319002050
Provider NameJaicie Nadine Congress
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497242630
PECOS PAC ID: 4082969944
Enrollment ID: I20180618000152
Provider NameAmanda Valerie Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972889749
PECOS PAC ID: 4789930348
Enrollment ID: I20180712000384
Provider NameStacey Lynn Hogg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386125391
PECOS PAC ID: 2365787587
Enrollment ID: I20181217001763
Provider NameKavithamani Mallan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891257903
PECOS PAC ID: 1658602404
Enrollment ID: I20191009003209
Provider NameDamaris Wanjiku Gichuhi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245889625
PECOS PAC ID: 6608201678
Enrollment ID: I20200122000020
Provider NameThomas Parrish
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669823100
PECOS PAC ID: 0749573186
Enrollment ID: I20200808000180
Provider NameJocelyn Alisa Sampson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427524958
PECOS PAC ID: 8921419557
Enrollment ID: I20201202002662
Provider NameLorie Jolly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043638554
PECOS PAC ID: 2860754868
Enrollment ID: I20210107000154
Provider NameLindsay Patlewicz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841523784
PECOS PAC ID: 2163569187
Enrollment ID: I20210111001211
Provider NameGregory Michael Lavins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912402769
PECOS PAC ID: 0749537025
Enrollment ID: I20210720003489
Provider NameMary E Cox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649763632
PECOS PAC ID: 5092068163
Enrollment ID: I20210910002732
Provider NameHeidi S Cammer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467127886
PECOS PAC ID: 7214335942
Enrollment ID: I20211012000290
Provider NameKristin Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912667072
PECOS PAC ID: 6406248558
Enrollment ID: I20220121001421
Provider NameKam Wei Chan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891759510
PECOS PAC ID: 9234328238
Enrollment ID: I20220121001975
Provider NameRobert Hanlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568410280
PECOS PAC ID: 2264425529
Enrollment ID: I20220124000028
Provider NameMarcella Ann Tabor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184681579
PECOS PAC ID: 0244134013
Enrollment ID: I20220124000122
Provider NameStephanie Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861460883
PECOS PAC ID: 4284620774
Enrollment ID: I20220125000214
Provider NameAlagusivakumari Rameshbabu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003850389
PECOS PAC ID: 9739071341
Enrollment ID: I20220512002809
Provider NameLatoya Fulton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598031122
PECOS PAC ID: 4183991110
Enrollment ID: I20220608000345
Provider NameDeanna Delaine King
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568923787
PECOS PAC ID: 9436486966
Enrollment ID: I20220816000913
Provider NameAmy Beth Raz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881669315
PECOS PAC ID: 2668645516
Enrollment ID: I20221021001532
Provider NameBrittany Bowling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669042149
PECOS PAC ID: 0648646000
Enrollment ID: I20221026002319
Provider NameEstefany Sanchez Mendez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245615442
PECOS PAC ID: 0042689002
Enrollment ID: I20221214000071
Provider NameKusum Paudel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710608641
PECOS PAC ID: 5698145340
Enrollment ID: I20221221002686
Provider NameRegi Jose Vadassery
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275562035
PECOS PAC ID: 3971975251
Enrollment ID: I20230215000217
Provider NameNana Yaa Serwaa Addai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114539814
PECOS PAC ID: 2163800194
Enrollment ID: I20230504001362
Provider NameJalecia Maria Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164189874
PECOS PAC ID: 1658725882
Enrollment ID: I20230921003169
Provider NameJerell Diego Chua
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1962637827
PECOS PAC ID: 7810149721
Enrollment ID: I20231120003313
Provider NameCecile Catalan Dadivas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609822865
PECOS PAC ID: 7214975598
Enrollment ID: I20240621001556
Provider NameEric J Pederson
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1679001945
PECOS PAC ID: 7113295973
Enrollment ID: I20240917001896
Provider NamePaula D Hampton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831409812
PECOS PAC ID: 0446434690
Enrollment ID: I20241023004840
Provider NameDorrie Edgeston-jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730966292
PECOS PAC ID: 0840720876
Enrollment ID: I20250206000871

Reviews and Comments


Internal Medicine in Charlotte, NC

Carolina Medicorp Enterprises Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 445 South Kings Drive, Charlotte, NC 28204
Phone: 704-384-1734    Fax: 704-384-1736
Novant Health Medical Group, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207
Phone: 704-384-5416    Fax: 704-384-5996
Carolinas Physicians Network Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210
Phone: 704-355-0607    
Amity Medical Group, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215
Phone: 704-208-4134    Fax: 704-248-8068
Companion Health, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211
Phone: 704-236-2658    
Novant Health Medical Group, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227
Phone: 704-537-0020    Fax: 704-316-8634
Asthma & Allergy Specialists, P.a.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277
Phone: 704-341-9600    Fax: 704-341-9996

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.