Active NPI
Circle Medical Associates PA
- Family Medicine Physician
- Monroe, NC
National Provider Identifier
1023099710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2488
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7902788 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.