METROLINA AIDS PROJECT, INC. (NPI# 1164675914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164675914 |
| Entity Type | Organization |
| Organization Name | METROLINA AIDS PROJECT, INC. |
| Other Organization Name | METROLINA CARE NETWORK |
| Practice Address |
5801 Executive Center Dr Suite 114 Charlotte NC 28212-8861 |
| Mailing Address |
Po Box 32662 Charlotte NC 28232-2662 |
| Practice Telephone | 7049364460 |
| Practice Fax Number | 7049364470 |
| Mailing Telephone | 7043331435 |
| Mailing Fax Number | 7046022440 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | DR. JOSE R DIAZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7043331435 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | METROLINA AIDS PROJECT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 2335882 | 01 |
| Other Name | Type Code |
|---|---|
| Metrolina Care Network | Doing Business As Name - Organization |
| Street Address |
5801 EXECUTIVE CENTER DR SUITE 114 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-8861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457384646 | Karen Daniels-mitchell | Family Medicine | 5801 Executive Center Dr, Ste 100, Charlotte, NC 28212-8861 | 2006-07-09 |
| 1134584915 | Latice Hudson | Registered Nurse | 5801 Executive Center Dr, Suite 200, Charlotte, NC 28212-8861 | 2015-12-22 |
| 1619219169 | Nonna Kozlenko | Family Medicine | 5801 Executive Center Dr, Ste 100, Charlotte, NC 28212-8861 | 2013-03-22 |
| 1437484581 | Matee Sackie | Nurse Practitioner | 5801 Executive Center Dr, Ste 100, Charlotte, NC 28212-8861 | 2009-10-07 |
| 1033349030 | Barbara Brown White | Counselor | 5801 Executive Center Dr, Suite 114, Charlotte, NC 28212-8861 | 2009-07-24 |
| 1871727479 | Kathryn Thompson | Family Medicine | 5801 Executive Center Dr, Suite 100, Charlotte, NC 28212-8861 | 2009-05-11 |
| 1588673636 | Carolinas Physicians Network Inc | Family Medicine | 5801 Executive Center Dr, Ste 100, Charlotte, NC 28212-8861 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1255704615 | Home Town Compounding Specialists | Clinic/Center | 6822 Charette Ct, Charlotte, NC 28215-9424 | 2015-11-07 |
| 1013304211 | Eagle Rising Health Services, Pllc | Clinic/Center | 8815 University East Dr Ste 215, Charlotte, NC 28213-4100 | 2015-04-25 |
| 1982859690 | Truecare LLC | Clinic/Center | 4935 Albermarle Road, Upper, Charlotte, NC 28205 | 2008-11-21 |
| 1295987766 | Concentra Health Services, Inc. | Clinic/Center | 2835 Jeff Adams Dr., #a, Charlotte, NC 28206-1061 | 2008-10-16 |
| 1912159336 | Concentra Health Services, Inc. | Clinic/Center | 4221 Tuckaseegee Rd., Charlotte, NC 28208-2801 | 2008-10-16 |
| 1821240391 | Concentra Health Services, Inc. | Clinic/Center | 646 Westinghouse Blvd., Charlotte, NC 28273-6303 | 2008-10-16 |
| 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.