NPIMap

Organization Active NPI

Aa Management Corp Inc

Doing business as Aa Prime Care Medical Center

  • Legal Medicine
  • Charlotte, NC
National Provider Identifier
1093948762
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
2002-00125 Issued in NC
Legal business name
AA MANAGEMENT CORP INC
Doing business as
Aa Prime Care Medical Center
Practice address
5225 Albemarle Rd
Charlotte, NC 28212-3604
Phone
(704) 535-5530
Fax
(704) 535-5537
NPI assigned
Aug 28, 2009
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Mr. Vahe Aghajanyan
Title
President
Phone
(704) 535-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 2002-00125 NC Primary

Addresses

Primary practice location

5225 Albemarle Rd
Charlotte, NC 28212-3604

Mailing address

401 Hawthorne LN
110-121
Charlotte, NC 28204
Phone (704) 535-5530

Other identifiers 2

IdentifierTypeStateIssuer
5913446MedicaidNC
2327518AOtherNCMEDICARE

Other names 1

  • AA PRIME CARE MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

401 Hawthorne Ln
#110121
Charlotte, NC 28204

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1093948762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAWTHORNE LN",
            "address_2": "110-121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-535-5530",
            "fax_number": "704-535-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123604",
            "telephone_number": "704-535-5530",
            "fax_number": "704-535-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA MANAGEMENT CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "AGHAJANYAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-535-5530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "2002-00125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913446",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2327518A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AA PRIME CARE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.