Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centerwell Senior Primary Care Nc Jv PC

Organization Family Medicine Physician · NPI 1366181943

Centerwell Senior Primary Care Nc Jv PC is a Family Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8727 Jw Clay Blvd
Charlotte, NC 28262-5417
Phone: (980) 999-1831
Fax: (877) 536-8312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1366181943
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Nc Jv PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-University City; Centerwell Senior Primary Care-University City
NPI enumeratedJune 1, 2022
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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