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

Centerwell Senior Primary Care Nc Jv PC

Organization Family Medicine Physician · NPI 1831836758

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
3
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

3512 Wilkinson Blvd Ste 130
Charlotte, NC 28208-5698
Phone: (980) 999-2964
Fax: (877) 691-5325
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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

Record details

NPI number1831836758
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- Wilkinson; Centerwell Senior Primary Care- Wilkinson; Centerwell Senior Primary Care Nc Pc
NPI enumeratedMay 13, 2022
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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