Active NPI
Cupid Family Practice PA
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1104010156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200301427
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 200301427 | NC | |
| Family Medicine Physician | 207Q00000X | 200301427 | NC | Primary |
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216527 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.