Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Centerwell Senior Primary Care Nc Jv PC

Organization Family Medicine Physician · NPI 1366181943

Centerwell Senior Primary Care Nc Jv PC provides Family Medicine Physician services 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
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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
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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