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 1942074950

Centerwell Senior Primary Care Nc Jv PC is a Family Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
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

5415 S Blvd
Charlotte, NC 28217-4119
Phone: (704) 869-0321
Fax: (877) 977-5366
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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 number1942074950
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-Montclaire
NPI enumeratedNovember 9, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing address4700 Millenia Blvd Ste 650, Orlando, FL 32839-6013

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