Organization Active NPI

Cupid Family Practice PA

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1104010156
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200301427 Issued in NC
Legal business name
CUPID FAMILY PRACTICE PA
Practice address
2325 W. Arbors Dr.
Suite 102
Charlotte, NC 28262-2559
Phone
(704) 971-4445
Fax
(704) 971-4450
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Melissa Jo-Ann Cupid, MD
Title
Ceo
Phone
(704) 971-4445

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 200301427 NC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 200301427 NC Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 21652 SC

Addresses

Primary practice location

2325 W. Arbors Dr.
Suite 102
Charlotte, NC 28262-2559

Mailing address

2325 W. Arbors Dr.
Suite 102
Charlotte, NC 28262-2559
Phone (704) 971-4445

Other identifiers 1

IdentifierTypeStateIssuer
216527MedicaidSC

National Provider Directory

National Provider Directory

Locations

2325 W Arbors Dr
Charlotte, NC 28262
Phone (704) 971-4445

2325 W Arbors Dr
Ste 102
Charlotte, NC 28262
Phone (704) 490-1273

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1104010156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W. ARBORS DR.",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622559",
            "telephone_number": "704-971-4445",
            "fax_number": "704-971-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W. ARBORS DR.",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622559",
            "telephone_number": "704-971-4445",
            "fax_number": "704-971-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUPID FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "CUPID",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JO-ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-971-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "200301427",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200301427",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216527",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 5, 2015; 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.