COMMUNITY MEDICAL, P.A. (NPI# 1396935193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396935193 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL, P.A. |
| Practice Address |
520 W Main St Marshville NC 28103-1197 |
| Practice Telephone | 7046243388 |
| Practice Fax Number | 7046243390 |
| Mailing Telephone | 7046243388 |
| Mailing Fax Number | 7046243390 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | DR. GARY WAYNE HENRY (PRESIDENT) |
| Authorized Official Telephone | 7042213415 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
32725 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890132J | 05 | |
| BCBS | 0132J | 01 |
| Street Address |
520 W MAIN ST |
| City | MARSHVILLE |
| State | NC |
| Zip Code | 28103-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558670604 | Brandi Selina Queen | Nurse Practitioner | 520 W Main St, Marshville, NC 28103-1197 | 2010-10-06 |
| 1497778567 | Gary Wayne Henry | Family Medicine | 520 W Main St, Marshville, NC 28103-1197 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700062817 | The Upper Group Inc. | Local Education Agency (LEA) | 6017 Highway 74 West Blvd., Po.111, Marshville, NC 28103 | 2008-01-18 |
| 1578786562 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | Box 4213 Ridge Run St, Marshville, NC 28103 | 2007-04-10 |
| 1932277761 | Marshville Pharmacy Inc | Pharmacy | 6330 A West Marshville Blvd, Marshville, NC 28103 | 2006-12-01 |
| 1093791337 | Autumn Corporation | Skilled Nursing Facility | 311 W Phifer Rd, Marshville, NC 28103 | 2005-12-19 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1861744971 | Joseph Elmo Green | Family Medicine | 609 Old Hyw 74, Marshville, NC 28103-0146 | 2012-10-12 |
| 1932686425 | Pamela C Smith | Registered Nurse | 502 N Elm St, Marshville, NC 28103-1029 | 2018-07-26 |
| 1306977871 | Pierce Family Wellness Center, Pllc | Chiropractor | 6315 W Marshville Blvd, Marshville, NC 28103-1176 | 2007-03-08 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1104839935 | Americare Ehalth | Family Medicine | 7204 E Marshville Blvd, Marshville, NC 28103-1191 | 2006-08-14 |
| Find all providers in zip 28103 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
| City | MARSHVILLE |
| Zip Code | 28103 |
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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.