Organization Active NPI

Circle Medical Associates PA

  • Family Medicine Physician
  • Monroe, NC
National Provider Identifier
1023099710
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2488 Issued in NC
Legal business name
CIRCLE MEDICAL ASSOCIATES PA
Practice address
1111 Circle Dr
Monroe, NC 28112-5834
Phone
(704) 289-8537
Fax
(704) 283-4602
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gwendolyn Myrtis Perkins, MD
Title
Owner
Phone
(704) 289-8537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2488 NC Primary

Addresses

Primary practice location

1111 Circle Dr
Monroe, NC 28112-5834

Mailing address

1111 Circle Dr
Monroe, NC 28112-5834
Phone (704) 289-8537

Other identifiers 1

IdentifierTypeStateIssuer
7902788MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1023099710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CIRCLE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125834",
            "telephone_number": "704-289-8537",
            "fax_number": "704-283-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CIRCLE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125834",
            "telephone_number": "704-289-8537",
            "fax_number": "704-283-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "MYRTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-289-8537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.