HEALTHWORKS MED GROUP OF NORTH CAROLINA P C (NPI# 1053838912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053838912 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MED GROUP OF NORTH CAROLINA P C |
| Other Organization Name | PREMISE HEALTH CLINIC |
| Practice Address |
5501 Josh Birmingham Pkwy # B11b12 Charlotte NC 28208-5750 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 8662730986 |
| Practice Fax Number | 8666086846 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premise Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396059 | Healthworks Med Group of North Carolina P C | General Practice | 200 W 2nd St Fl 2, Winston Salem, NC 27101-4019 | 2020-08-11 |
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1396356606 | Healthworks Med Group of North Carolina P C | General Practice | 3200 Beechleaf Ct Ste 200, Raleigh, NC 27604-1063 | 2020-08-11 |
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1801407150 | Healthworks Med Group of North Carolina P C | General Practice | 2586 James B White Hwy N Bldg A, Whiteville, NC 28472-8974 | 2020-08-11 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1356846406 | Healthworks Med Group of North Carolina P C | Clinic/Center | 1040 E 3rd St, Siler City, NC 27344-7639 | 2018-03-29 |
| 1790202133 | Healthworks Med Group of North Carolina P C | Clinic/Center | 337 S Salisbury St, Raleigh, NC 27601-1728 | 2017-08-25 |
| 1548610660 | Healthworks Med Group of North Carolina P C | Clinic/Center | 2300 Yorkmont Rd, Charlotte, NC 28217-4572 | 2016-06-20 |
| 1417328931 | Healthworks Med Group of North Carolina P C | Clinic/Center | 13520 Ballantyne Corporate Pl, Charlotte, NC 28277-2706 | 2015-10-09 |
| Street Address |
5501 JOSH BIRMINGHAM PKWY # B11B12 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1548610660 | Healthworks Med Group of North Carolina P C | Clinic/Center | 2300 Yorkmont Rd, Charlotte, NC 28217-4572 | 2016-06-20 |
| 1831662196 | Hopeway Psychiatry & Associates LLC | Clinic/Center | 1717 Sharon Rd W, Charlotte, NC 28210-5663 | 2019-01-09 |
| 1417470774 | Hopeway Wellness | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-07-19 |
| 1124470836 | A Healthier You Weight Loss Clinic | Clinic/Center | 10370 Park Rd, Suite 200, Charlotte, NC 28210-8508 | 2016-07-06 |
| 1669868972 | Homecare for The Carolinas Clinic | Clinic/Center | 9414 Albemarle Rd, Charlotte, NC 28227-3346 | 2015-04-13 |
| 1194156018 | Sensorefrog Pllc | Clinic/Center | 5024 Mountain Point Ln, Charlotte, NC 28216-7765 | 2013-12-02 |
| 1184844599 | Lds Family Services | Clinic/Center | 7621 Little Ave, Suite 420, Charlotte, NC 28226-8368 | 2007-04-26 |
| 1821180795 | Sleep Success Technology, Inc. | Clinic/Center | 15830 John J Delaney Dr, Suite 125, Charlotte, NC 28277-3294 | 2006-09-29 |
| 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.