Eventus Value Care, LLC

Organization Active NPI Family Medicine Physician · Concord, NC

NPI 1013680503 · NPPES record last updated Aug 3, 2021

Key facts

NPI
1013680503
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
EVENTUS VALUE CARE, LLC
Practice address
101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone
(855) 743-2247
NPI assigned
Jul 29, 2021
Organization subpart
No

Authorized official

Name
Dr. George Hall, MD
Title
Owner/Authorized Official
Phone
(855) 743-2247

Practitioners 225

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 225

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC, SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210818003793 NC Part B Supplier - Clinic/Group Practice 1254736986 Receives reassigned benefits from 218 practitioners
Practice locations: Concord, NC
O20251031000902 SC Part B Supplier - Clinic/Group Practice 1254736986 Receives reassigned benefits from 16 practitioners
Practice locations: Columbia, SC

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X

Addresses

Primary practice location

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781

Mailing address

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone (855) 743-2247

Other providers in Concord, NC

All providers in Concord, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.