CHARLOTTE PROACTIVE MD PC (NPI# 1932607595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932607595 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE PROACTIVE MD PC |
| Practice Address |
11220 Golf Links Drive North Charlotte NC 28277 |
| Practice Telephone | 7045104988 |
| Mailing Telephone | 7045104988 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | DR. HARRIET DAVIS (PRESIDENT) |
| Authorized Official Telephone | 7045104988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
11220 GOLF LINKS DRIVE NORTH |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| 1720436439 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4908 Houston Field Court, Charlotte, NC 28277 | 2016-06-03 |
| Find all providers in zip 28277 | ||||
| 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 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1952826323 | Lms Medical Services Pllc | Clinic/Center | 416 Mccullough Dr Ste 205, Charlotte, NC 28262-4392 | 2017-08-07 |
| 1326579640 | Mountain Summit Medical LLC | Clinic/Center | 10523 Kempsford Dr, Charlotte, NC 28262-2720 | 2017-03-27 |
| 1609328210 | Careatc-whitehall | Clinic/Center | 3615 Whitehall Park Dr, Suite G, Charlotte, NC 28273-4138 | 2016-10-30 |
| 1558711572 | Happy Healthcare, LLC | Clinic/Center | 3379 Highway 48 N Ste A, Charlotte, TN 37036-4838 | 2016-06-21 |
| 1912363177 | Ourhealth Physicians Group, LLC | Clinic/Center | 9020 Albemarle Rd, Suite E, Charlotte, NC 28227-2603 | 2016-01-04 |
| 1932573037 | Ourhealth Physicians Group, LLC | Clinic/Center | 4000 Wilkinson Blvd, Suite A, Charlotte, NC 28208-5521 | 2015-11-30 |
| 1861866964 | Ourhealth Physicians Group, LLC | Clinic/Center | 10216 Perimeter Pkwy, Unit C, Charlotte, NC 28216-2461 | 2015-11-30 |
| 1770929440 | Bridges Health and Wellness | Clinic/Center | 225 W Morehead St, Charlotte, NC 28202-1521 | 2013-05-21 |
| 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.