Active NPI
Robert A Nahouraii, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 52034
- Practice address
- 70 Lake Concord Rd NE
Concord, NC 28025-3057 - Phone
- (704) 355-9794
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 52034 | SC | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 35174 | NC | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 52034 | SC | Primary |
Addresses
Primary practice location
70 Lake Concord Rd NE
Concord, NC 28025-3057
Mailing address
5522 Selsey PL
Charlotte, NC 28277-0514
Phone (704) 618-5362
Other practice location 1
9 Richland Medical Park Dr Ste 110
Columbia, SC 29203
Phone (803) 434-7961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8962907 | Medicaid | NC | |
| N35174 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Pittsburgh School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10801 Monroe Rd
Suite 100
Matthews, NC 28105-8336
Phone (704) 364-4000
70 Lake Concord Rd NE
Concord, NC 28025-3057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35174 | NC | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 52034 | SC | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecklenburg Neurology Group | Current | Accepting new patients |
Locations
3541 Randolph Rd
Ste 301
Charlotte, NC 28211
Phone (704) 335-9794
1300 Baxter St
Ste 114
Charlotte, NC 28204
Phone (704) 333-3033
8001 N Tryon St
Charlotte, NC 28262
Phone (704) 335-9794
70 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 335-3400
511 Lauchwood Dr
Laurinburg, NC 28352
Phone (704) 335-9794
1665 Herlong Ct
#B
Rock Hill, SC 29732
Phone (803) 324-1028
Interoperability endpoints
- robertnahouraiimd@meckneurology.medentdirect.com
- rnahouraii2905900@carolinashealthcaresystem.direct-ci.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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Concord, NC
- NPI 1417446691
SC
-
- Contractor
- Matthews, NC
- NPI 1457530057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1104877224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5522 SELSEY PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770514",
"telephone_number": "704-618-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 LAKE CONCORD RD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253057",
"telephone_number": "704-355-9794"
}
],
"practiceLocations": [
{
"address_1": "9 Richland Medical Park Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-434-7961",
"fax_number": "803-434-7981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAHOURAII",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "52034",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NC",
"license": "35174",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "SC",
"license": "52034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8962907",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N35174",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
- Myeyedr Optometry of North Carolina, PLLC (Myeyedr)
- Catherine Louise Myton, PHD, AMHNP
- Rachel Teresa Nadeau, FNP-C
- Beatriz Elizabeth Nagari
- Max Tyler Nagle
- Kayla Jenay Nance, MS,CCC-SLP
- Brookelynn Sophia Nanney
- Rachel Nethe Naot, LPA
- Jennifer Lefler Napier, CCC-SLP, MA
- Margarete Narzynski, MOT, OTRL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.