Charlotte Community Health Clinic, Inc.
NPI 1053065201 · Federally Qualified Health Center (FQHC) · Charlotte, NC
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charlotte Community Health Clinic, Inc. is a Federally Qualified Health Center (FQHC) organization in Charlotte, NC (NPI 1053065201).
Provider details
- NPI number
- 1053065201
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stefani Ruarte, Credentialing Coordinator(704) 316-6573
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Smith Family Wellness Clinic
- Other name
- Smith Family Wellness Clinic
Registry dates
- Enumerated
- 2022-02-07
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Frequently asked questions
- What is Charlotte Community Health Clinic, Inc.'s NPI number?
- Charlotte Community Health Clinic, Inc.'s National Provider Identifier (NPI) is 1053065201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charlotte Community Health Clinic, Inc.?
- Charlotte Community Health Clinic, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Charlotte Community Health Clinic, Inc. located?
- Charlotte Community Health Clinic, Inc.'s practice location on file with NPPES is 3622 Central Ave, Charlotte, NC 28205-5638.
- What is Charlotte Community Health Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Charlotte Community Health Clinic, Inc. is (704) 316-6561.
- Does Charlotte Community Health Clinic, Inc. accept Medicare?
- Charlotte Community Health Clinic, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Charlotte Community Health Clinic, Inc.?
- The authorized official listed on Charlotte Community Health Clinic, Inc.'s NPPES record is Stefani Ruarte, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charlotte Community Health Clinic, Inc.'s NPI active?
- Yes — Charlotte Community Health Clinic, Inc.'s NPI (1053065201) is active in the NPPES registry as of the last update on 2022-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.