CHARLOTTE MEDICAL CLINIC (NPI# 1780913921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780913921 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE MEDICAL CLINIC |
| Practice Address |
10545 Blair Road Suite 2100 Mint Hill NC 28227-2804 |
| Mailing Address |
Po Box 601643 Charlotte NC 28260-1643 |
| Practice Telephone | 7048639500 |
| Practice Fax Number | 7048639501 |
| Mailing Telephone | 7045124808 |
| Mailing Fax Number | 7045124838 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | DANIEL L. WIENS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5908921 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518217058 | Charlotte Medical Clinic | Internal Medicine | 1021 Morehead Medical Dr, Suite B, Charlotte, NC 28204-2839 | 2012-09-12 |
| 1255575072 | Charlotte Medical Clinic | Internal Medicine | 3025 Springbank Lane, Suite 100, Charlotte, NC 28226-3368 | 2009-04-23 |
| 1083649214 | Charlotte Medical Clinic | Physical Medicine & Rehabilitation | 1001 Blythe Blvd, Mcp Suite 500, Charlotte, NC 28203-5874 | 2006-07-12 |
| Street Address |
10545 BLAIR ROAD SUITE 2100 |
| City | MINT HILL |
| State | NC |
| Zip Code | 28227-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053636472 | Charlotte Medical Clinic Inc | Dermatology | 10545 Blair Road, Suite 2100, Mint Hill, NC 28227-2804 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1134611239 | Alyssa Latonia Rodgers | Counselor | 7512 Spring Spruce Ln, Charlotte, NC 28227 | 2018-06-04 |
| 1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
| 1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
| 1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
| 1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
| 1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
| 1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
| 1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| Find all providers in zip 28227 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235475054 | Carolinas Physicians Network, Inc. | Internal Medicine | 11304 Hawthorne Dr, Suite 115, Mint Hill, NC 28227-9425 | 2012-12-26 |
| 1043585433 | Trinity Medical Center P.C. | Internal Medicine | 7215 Lebanon Rd, Suite A, Mint Hill, NC 28227-9026 | 2012-03-19 |
| 1639366214 | Carolinas Physicians Network Inc | Internal Medicine | 10545 Blair Rd, Ste 1200, Mint Hill, NC 28227-2800 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 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.