AA MANAGEMENT CORP (NPI# 1720019110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720019110 |
| Entity Type | Organization |
| Organization Name | AA MANAGEMENT CORP |
| Other Organization Name | AA PRIMECARE MEDICAL CENTER |
| Practice Address |
1401 E 7th St Suite 100 Charlotte NC 28204-2407 |
| Mailing Address |
401 Hawthorne Ln Suite 110/121 Charlotte NC 28204-2484 |
| Practice Telephone | 7043335606 |
| Practice Fax Number | 7043335611 |
| Mailing Telephone | 7043335606 |
| Mailing Fax Number | 7043335611 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | MR. CHAD DANIEL HOWARD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7043335606 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905847 | 05 |
| Other Name | Type Code |
|---|---|
| AA PRIMECARE MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
1401 E 7TH ST SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861578 | Paula Suzanne Fleenor | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-11-05 |
| 1679172399 | Sierra Laney | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-23 |
| 1013516053 | Devesdra Wallace | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-21 |
| 1497354302 | Ranekqwa Edwards | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-21 |
| 1235737719 | Elizabeth Catherine Crage | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-15 |
| 1386242071 | Joshua Thomas | Behavioral Analyst | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-14 |
| 1275131062 | Shelby Karen Pringle | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-13 |
| 1366049645 | Ashli Duryea | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-08 |
| 1730786658 | Aileen Frances Harris | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-10-04 |
| 1386251387 | Tamia Barnes | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252207 | Kim Dudley | Specialist | 9208 Ardrey Kell Rd Ste 14, Charlotte, NC 28277-0786 | 2018-04-18 |
| 1568828994 | Darla Lilleberg | Specialist | 428 E 4th St, Suite 333, Charlotte, NC 28202-2434 | 2016-01-14 |
| 1508222175 | Candy Sue Benish | Specialist | 3349 Chilham Pl, Charlotte, NC 28226-3000 | 2016-01-12 |
| 1245614874 | Joseph Franklin Cline | Specialist | 8133 Ardrey Kell Rd Ste 203, Charlotte, NC 28277-5723 | 2015-07-14 |
| 1689055147 | James Salfia | Specialist | 9608 Rainbow Forest Dr, Charlotte, NC 28277-8773 | 2015-06-10 |
| 1811384720 | Diabetes and Metabolism Care Group Pllc | Specialist | 10344 Park Rd, Charlotte, NC 28210-8470 | 2015-04-17 |
| 1730579657 | Queen Charlotte Hair Replacement Center | Specialist | 5729 Cedars East Ct Apt 6, Charlotte, NC 28212-0192 | 2015-01-30 |
| 1285046573 | Said Yousef | Specialist | 8706 Holly Creek Ct, Charlotte, NC 28216-2666 | 2014-05-21 |
| 1235564758 | Barbara Jo Halton-bailey | Specialist | 231 Old Bell Rd, Charlotte, NC 28270-2792 | 2013-09-04 |
| 1508206061 | Amalia Cisneros | Specialist | 5800 N Sharon Amity Rd Ste B, Charlotte, NC 28215-5081 | 2013-06-28 |
| 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.