UNITED PRIMARY DIAGNOSTIC CENTER (NPI# 1316400088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316400088 |
Entity Type | Organization |
Organization Name | UNITED PRIMARY DIAGNOSTIC CENTER |
Practice Address |
2103 N Graham St Ste B Charlotte NC 28206-2548 |
Practice Telephone | 3363709232 |
Practice Fax Number | 3362747200 |
Mailing Telephone | 3363709232 |
Mailing Fax Number | 3362747200 |
Enumeration Date | 2019-04-10 |
Last Update Date | 2020-10-11 |
Authorized Official Name | ENASHA LASHAY JAMES (MEDICAL ADMINISTRATOR) |
Authorized Official Telephone | 3363709232 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
United Primary Care Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1207 4th St., Greensboro, NC 274056622 | 3363709232 | 3362747200 |
721 Spruce St, Charlotte, NC 282034330 | 7042582580 | 3362747200 |
Street Address |
2103 N GRAHAM ST STE B |
City | CHARLOTTE |
State | NC |
Zip Code | 28206-2548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
Find all providers in zip 28206 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306481114 | Nicole Dominique Calhoun | Nurse Practitioner | 4231 Salem Springs Ct, Winston Salem, NC 27107-6550 | 2019-11-15 |
1073165148 | Chrystal Gammon | Nurse Practitioner | 1015 Rockford St Ste 200, Mount Airy, NC 27030-5026 | 2019-07-09 |
1669756177 | Mctisa Michelle Lane | Nurse Practitioner | 124 Cinder Cross Way, Garner, NC 27529 | 2011-10-03 |
1518178003 | Grace Liem | Nurse Practitioner | 528a Lake Concord Rd Ne, Concord, NC 28025-2926 | 2007-05-25 |
1205041084 | Stephannie Cooper Senegal | Nurse Practitioner | 10 Sunnybrook Road Suite 362, Raleigh, NC 27610-1834 | 2007-05-14 |
1831230457 | Rosemary Thomas Royce | Nurse Practitioner | 9495 Nc Highway 305, Jackson, NC 27845-9679 | 2007-02-08 |
1205441938 | Robyn Natalie Calvio | Nurse Practitioner | 303 Green St E, Wilson, NC 27893-4105 | 2020-09-10 |
1467066118 | Tabitha Silvers Fox | Nurse Practitioner | 202 Medical Campus Dr, Burnsville, NC 28714-9004 | 2020-09-01 |
1497378822 | Ashton Laurel Ruff | Nurse Practitioner | 5420 Us Highway 70 W, Morehead City, NC 28557-4510 | 2020-05-20 |
1558842575 | Erin Marett Smith | Nurse Practitioner | 517 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-08-27 |
Find all providers with the same taxonomy |
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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.