OrganizationActive
Blakeney Family Practice, PLLC
NPI 1629942388 · Primary Care Clinic/Center · Charlotte, NC
Provider details
- NPI number
- 1629942388
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nikita Blakeney-Williams, Cno(980) 402-4668
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nursing Care Agency251J00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4401 E Independence Blvd Ste 208f
Charlotte, NC 28205-7485
Phone: (980) 402-4668
Street-level locationGet directions
Mailing address
Po Box 37054
Rock Hill, SC 29732-0517
Other names (DBA / former)
- Other name
- Family First Wellness Practice
Registry dates
- Enumerated
- 2025-10-03
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.