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

Dr. Jerell Diego Chua, MPH, DO

Individual provider Family Medicine Physician · NPI 1962637827

Dr. Jerell Diego Chua, MPH, DO is an Osteopathic Manipulative Medicine in Charlotte, North Carolina. Qualified in 2009, 17 years ago. Practices with Centerwell Senior Primary Care Nc Jv PC, a 31-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
17
Licensed in
NC, SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
MPH — Master of Public Health
A graduate degree in population health.
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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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

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023-03221 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1620 (SC)

Record details

NPI number1962637827
Entity typeIndividual (Type 1)
GenderMale
Credentials MPH , DO
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

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

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Centerwell Senior Primary Care Nc Jv Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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