Individual provider Active NPI

Meredith Jayne Faulkner, MD

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1073749156
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2012-00754 Issued in NC
Practice address
6060 Piedmont Row Dr S FL 8
Charlotte, NC 28287-3891
Phone
(704) 489-3094
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2012-00754 NC Primary
Internal Medicine Physician 207R00000X 156984 NC

Addresses

Primary practice location

6060 Piedmont Row Dr S FL 8
Charlotte, NC 28287-3891

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other practice location 1

201 S College St Fl 12
Charlotte, NC 28244
Phone (704) 489-3010

Other practice location 2

3030 Randolph Rd
Suite 200, MMG Museum
Charlotte, NC 28211-1368
Phone (704) 302-8200

Other identifiers 3

IdentifierTypeStateIssuer
1073749156MedicaidNC
5921065MedicaidNC
NC1665MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000631 NC Practitioner - Internal Medicine 1658528179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

6060 Piedmont Row Dr S
Charlotte, NC 28287-2800
Phone (704) 495-6334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156984NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson & Nelson III, P.C. CurrentSince Sep 5, 2018 Accepting new patients
Tryon Medical Partners, PLLC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients

Locations

6060 Piedmont Row Dr S
Fl 8
Charlotte, NC 28287
Phone (704) 489-3094

5950 Fairview Rd
Ste 330
Charlotte, NC 28210

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

6060 Piedmont Row Dr S
Charlotte, NC 28287
Phone (704) 552-0116

2807 Ramsey St
Fayetteville, NC 28301
Phone (910) 488-4009

3202 N Main St
Ste 100
Hope Mills, NC 28348
Phone (910) 401-6813

Interoperability endpoints

  • Direct secure messaging: meredith.faulkner.1@17847.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1073749156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334",
            "fax_number": "704-817-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S FL 8",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873891",
            "telephone_number": "704-489-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S College St Fl 12",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28244",
            "country_code": "US",
            "telephone_number": "704-489-3010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Randolph Rd",
            "address_2": "Suite 200, MMG Museum",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111368",
            "country_code": "US",
            "telephone_number": "704-302-8200",
            "fax_number": "704-302-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "MEREDITH",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2012-00754",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "156984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073749156",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921065",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1665",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.