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

Charlotta Jornlid

Individual provider Internal Medicine Physician · NPI 1689202822

Charlotta Jornlid is an Internal Medicine in Roanoke, Virginia. Qualified in 2020, 6 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island and Virginia.

Years since qualifying
6
Licensed in
RI, VA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

3 Riverside Cir
Roanoke, VA 24016-4955
Phone: (540) 224-5170
Fax: (540) 983-8229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-3985
  • 1906 Belleview Ave, Roanoke, VA 24014 — (540) 981-7000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO01353 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0102207742 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689202822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roanoke