MEDICARE: WELLCAREAMERICA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0207X	Mobile Mammography Clinic/Center
2	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1578918116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLCAREAMERICA LLC

Provider Business Mailing Address
First Line	:	PO BOX 13219
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27709-3219
Country	:	US
Telephone Number	:	877-318-1349
Fax Number	:	919-354-2936

Provider Business Practice Location Address
First Line	:	11220 ELM LN STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-0450
Country	:	US
Telephone Number	:	877-318-1349
Fax Number	:	919-354-2936

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL DYER
Credential	:
Telephone Number	:	877-318-1349

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	01/07/2026

Similar Medicare Providers

1225335789 — FIERY SAGE HEALING, LLC.
Practice Location Address:

11220 ELM LN STE 200
CHARLOTTE, NC
28277-0450

Practice Phone: 303-242-7443
Practice Fax:

1740587104 — JENNIFER FINEGOLD L.AC
Practice Location Address:

11220 ELM LN STE 200
CHARLOTTE, NC
28277-0450

Practice Phone: 910-444-1893
Practice Fax:

1720020977 — DR. JAMES KUO-LI LIU MD
Practice Location Address:

11220 ELM LN STE 200
CHARLOTTE, NC
28277-0450

Practice Phone: 704-321-2741
Practice Fax: 704-542-9991

1891856571 — DR. ALEXANDRA HIATT DUFFY PSY.D.
Practice Location Address:

11220 ELM LN STE 203
CHARLOTTE, NC
28277-0450

Practice Phone: 704-654-1920
Practice Fax:

1316171630 — SOUTH CHARLOTTE CARDIOLOGY, P.C.
Practice Location Address:

11220 ELM LN STE 200
CHARLOTTE, NC
28277-0450

Practice Phone: 704-321-2741
Practice Fax:

1164890281 — CASEY MARIE WATSON FNP
Practice Location Address:

11220 ELM LN STE 203
CHARLOTTE, NC
28277-0450

Practice Phone: 704-459-2181
Practice Fax: 704-533-9516

Directions to “WELLCAREAMERICA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.