NEUROLOGY WELLNESS, PLLC (NPI# 1073932885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073932885 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY WELLNESS, PLLC |
| Practice Address |
10508 Park Rd Ste 130 Charlotte NC 28210-8525 |
| Practice Telephone | 7045419117 |
| Practice Fax Number | 7045419197 |
| Mailing Telephone | 7045419117 |
| Mailing Fax Number | 7045419197 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | DR. JEAN-RONEL CORBIER (OWNER) |
| Authorized Official Telephone | 7045419117 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
2006-01910 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905648 | 05 |
| Street Address |
10508 PARK RD STE 130 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700855434 | Caitlin Moore Sund | Occupational Therapist | 10508 Park Rd, Suite 130, Charlotte, NC 28210-8405 | 2006-03-15 |
| 1699989855 | Sheila Natarajan | Physical Medicine & Rehabilitation | 10508 Park Rd, Ste 130, Charlotte, NC 28210 | 2007-05-09 |
| 1588781876 | Grace Slack | Occupational Therapist | 10508 Park Rd, Suite 130, Charlotte, NC 28210-8525 | 2007-03-23 |
| 1275661373 | Nadya A Klinetob | Psychologist | 10508 Park Rd, Suite 130, Charlotte, NC 28210-8525 | 2007-03-01 |
| 1700979093 | Michelle Leigh Taylor | Occupational Therapist | 10508 Park Rd, Suite #130, Charlotte, NC 28210-8525 | 2006-10-01 |
| 1114980307 | John H Otzenberger | Psychologist | 10508 Park Rd, Suite 130, Charlotte, NC 28210-8405 | 2006-04-09 |
| 1790747756 | Mary Zimmer | Pediatrics | 10508 Park Rd, Suite 100, Charlotte, NC 28210-8405 | 2006-04-05 |
| 1790747749 | William Comisky | Pediatrics | 10508 Park Rd, Suite 100, Charlotte, NC 28210-8525 | 2006-04-05 |
| 1124080171 | Suzanne Carney | Nurse Practitioner | 10508 Park Rd, Suite 100, Charlotte, NC 28210-8405 | 2006-04-05 |
| 1841251717 | Elizabeth J Griswold | Physical Therapist | 10508 Park Rd, Suite 130, Charlotte, NC 28210-8405 | 2006-03-31 |
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|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
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| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1023415981 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 12311 Copper Way, Suite 200-a, Charlotte, NC 28277-3642 | 2014-11-20 |
| 1780011825 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 2608 E 7th St, Charlotte, NC 28204-4375 | 2013-10-03 |
| 1518394659 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 101 E W T Harris Blvd, Bldg 3000 Ste 3301b, Charlotte, NC 28262-3485 | 2013-10-03 |
| 1720415946 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 1001 Blythe Blvd, Ste 200, Charlotte, NC 28203-5866 | 2013-10-02 |
| 1922367077 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 4501 Cameron Valley Pkwy, Suite 301-a, Charlotte, NC 28211-4297 | 2012-05-10 |
| 1699060384 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 101 E W T Harris Blvd, Bldg 3000, Suite 3301b, Charlotte, NC 28262-7000 | 2011-06-10 |
| 1972806321 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center, Charlotte, NC 28203-5866 | 2010-12-07 |
| 1265747497 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 | 2010-08-12 |
| 1437484243 | Carolinas Physicians Network, Inc. | Psychiatry & Neurology | 10320 Mallard Creek Road, Suite 230, Charlotte, NC 28262-5209 | 2009-10-13 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.