CABARRUS FAMILY MEDICINE (NPI# 1750566832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750566832 |
| Entity Type | Organization |
| Organization Name | CABARRUS FAMILY MEDICINE |
| Other Organization Name | PSYCHOLOGIVAL AND BEHAVIORAL HEALTH |
| Practice Address |
270 Copperfield Blvd Ne Suite 10 Concord NC 28025-2441 |
| Practice Telephone | 7047217430 |
| Practice Fax Number | 7047217431 |
| Mailing Telephone | 7047217430 |
| Mailing Fax Number | 7047217431 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | MR. LYNN M HAWKINS (CFO) |
| Authorized Official Telephone | 7047212062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 017MT | 01 |
| NC | 6005150 | 05 |
| Other Name | Type Code |
|---|---|
| Psychologival and Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758759 | Cabarrus Family Medicine | Clinic/Center | 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025-2441 | 2008-01-08 |
| Street Address |
270 COPPERFIELD BLVD NE SUITE 10 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248208 | Jerome Nymberg IIi | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2005-10-06 |
| 1427500354 | Tara Bush | Physician Assistant | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-10-26 |
| 1013462894 | Shannon Elizabeth Rudolph | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-22 |
| 1215481510 | Cody Clifton | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-04 |
| 1588019798 | Megan Campbell | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-04-26 |
| 1316322340 | Desiree Gaines | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2015-07-20 |
| 1437536489 | May Royer | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-04-29 |
| 1588051981 | Kristen Shaheen Williams | Physician Assistant | 270 Copperfield Blvd Ne, Suite 102, Concord, NC 28025-2441 | 2015-04-23 |
| 1558756155 | Rachel Koontz | Nurse Practitioner | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-03-31 |
| 1750799375 | Caroline Traylor | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2014-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1992325914 | Al Counseling | Clinic/Center | 300 Baker Ave Ste 300, Concord, MA 01742-2124 | 2020-04-20 |
| 1538796842 | New Start Counseling Solutions | Clinic/Center | 2150 East St, Concord, CA 94520-2012 | 2020-03-25 |
| 1548770126 | Paul Mckim | Clinic/Center | 188 N Main St Ste 1office3, Concord, NH 03301-5095 | 2017-10-09 |
| 1205152782 | Contra Costa County | Clinic/Center | 2425 Bisso Lane, Suite 100, Concord, CA 94520-4817 | 2010-04-09 |
| 1679648182 | Eliot Community Human Services | Clinic/Center | 86 Baker Ave Ext, Concord, MA 01742 | 2006-11-21 |
| 1760489439 | Portia Bell Hume Behavioral Health and Training Center | Clinic/Center | 1333 Willow Pass Rd Ste 102, 101, Concord, CA 94520-7930 | 2005-07-07 |
| 1770046427 | Riverbend Community Mental Health, Inc | Clinic/Center | 40 Pleasant St, Concord, NH 03301-4006 | 2019-04-10 |
| 1366908113 | Pioneer Spirit Counseling LLC | Clinic/Center | 259 S Main St, Concord, NH 03301-3405 | 2019-02-18 |
| 1346704301 | Fishback Psychological Services, P.C. | Clinic/Center | 236 Lephillip Court, Suite D, Concord, NC 28025 | 2019-01-24 |
| 1376868471 | Behavioral Health, Pllc | Clinic/Center | 37 Market St Sw, Concord, NC 28025-5007 | 2010-03-31 |
| Find all providers in CONCORD | ||||
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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.