MDFAMILY MEDICAL GROUP, PA (NPI# 1629130877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629130877 |
| Entity Type | Organization |
| Organization Name | MDFAMILY MEDICAL GROUP, PA |
| Other Organization Name | MDFAMILY MEDICAL GROUP, INC. |
| Practice Address |
416 Mccullough Dr Suite 140 Charlotte NC 28262-4385 |
| Practice Telephone | 7046880324 |
| Practice Fax Number | 7046880344 |
| Mailing Telephone | 7046880324 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-02-13 |
| Authorized Official Name | WILLIAM MURPHY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7045276322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MDFamily Medical Group, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801043187 | Mdfamily Medical Group, Pa | Family Medicine | 1415 Hwy 54 S, Suite 103 & 108, Durham, NC 27707-5577 | 2008-08-19 |
| 1023264777 | Mdfamily Medical Group, Pa | Family Medicine | 900 Sunset Ave, Rocky Mount, NC 27804-5521 | 2008-08-13 |
| 1124274873 | Mdfamily Medical Group, Pa | Family Medicine | 2801 Fieldstream Dr N, Wilson, NC 27896-6927 | 2008-08-13 |
| 1477615474 | Mdfamily Medical Group, Pa | Pediatrics | 230 E W T Harris Blvd, Suite C-13, Charlotte, NC 28262-3492 | 2006-12-15 |
| 1407894058 | Mdfamily Medical Group, Pa | Pediatrics | 2801 Crisman St, Charlotte, NC 28208-3847 | 2006-06-04 |
| 1134375884 | Mdfamily Medical Group, Pa | Family Medicine | 8 S Main St, Franklinton, NC 27525-1317 | 2008-08-13 |
| Street Address |
416 MCCULLOUGH DR SUITE 140 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-4385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922660869 | Gilberto Antonio Lorenzana | Nurse Practitioner | 416 Mccullough Dr, Ste 110, Charlotte, NC 28262-4387 | 2019-07-01 |
| 1174997084 | Alicia Knotts | Registered Nurse | 416 Mccullough Dr, Ste 110, Charlotte, NC 28262-4385 | 2015-11-17 |
| 1346589744 | Step By Step Care, Inc | In Home Supportive Care | 416 Mccullough Dr, Ste 155, Charlotte, NC 28262-4385 | 2013-02-05 |
| 1558600171 | Step By Step Care Inc | In Home Supportive Care | 416 Mccullough Dr, Suite 155, Charlotte, NC 28262-4385 | 2013-02-01 |
| 1770735466 | North Charlotte Pediatrics Pllc | Pediatrics | 416 Mccullough Dr, Suite 416, Charlotte, NC 28262-4385 | 2008-10-14 |
| 1639336878 | Goldenblush Circle Group Home | Community Based Residential Treatment Facility, Mental Illness | 416 Mccullough Dr, Suite 125, Charlotte, NC 28262-4385 | 2008-05-16 |
| 1992988091 | Denise Ustik Hoffecker | Chiropractor | 416 Mccullough Dr, Suite 155, Charlotte, NC 28262-4385 | 2007-12-11 |
| 1235269606 | Christine Elizabeth Labins | Marriage & Family Therapist | 416 Mccullough Dr, Suite #235, Charlotte, NC 28262-4385 | 2007-03-06 |
| 1619002631 | Visions of Care | Counselor | 416 Mccullough Dr, Suite105, Charlotte, NC 28262-4385 | 2007-02-22 |
| 1942353172 | Caring Arms Youth and Family Services, Inc. | Counselor | 416 Mccullough Dr, Suite 130, Charlotte, NC 28262-4389 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1780189902 | Izadora Izidoro Diehl | General Practice | 5128 Silabert Ave, Charlotte, NC 28205-7863 | 2018-03-28 |
| 1851799696 | Hak Jin Kim | General Practice | 2095 Brunswick Place, Charlotte, MI 48813-9751 | 2014-12-10 |
| 1992055941 | Healthworks Med Group of North Carolina P C | General Practice | 2605 Water Ridge Pkwy, Suite 100, Charlotte, NC 28217-4565 | 2012-09-18 |
| 1811296494 | Rene Chike Anikwue | General Practice | 5109 Monroe Rd Ste E, Charlotte, NC 28205-7878 | 2011-03-21 |
| 1235433723 | David Joseph Pasek | General Practice | 9216 Forest Manor Ct, Charlotte, NC 28215-9705 | 2010-12-27 |
| 1053625574 | Chs North Carolina Medical, P.C. | General Practice | 7201 Hewitt Associates Dr, Ste 500, Charlotte, NC 28262-4001 | 2010-07-27 |
| 1255587903 | Stuart Lee Schnider | General Practice | 3220 Latrobe Dr, Charlotte, NC 28211-4845 | 2008-08-13 |
| 1235184813 | Health-pro Mental Health Services Pllc | General Practice | 6700 Fairview Rd, Suite 420, Charlotte, NC 28210-3324 | 2006-05-23 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MDFAMILY MEDICAL GROUP, PA.
| 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.