Organization Active NPI

Joint and Muscle Medical Care , PC

  • Rheumatology Physician
  • Charlotte, NC
National Provider Identifier
1174703946
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
200400560 Issued in NC
Legal business name
JOINT AND MUSCLE MEDICAL CARE , PC
Practice address
332 Lillington Ave
Charlotte, NC 28204-3130
Phone
(704) 377-1216
Fax
(704) 210-8294
NPI assigned
Nov 9, 2007
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Dr. Alireza Nami, MDNPI 1851312755
Title
Medical Director
Phone
(704) 377-1216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 200400560 NC Primary

Addresses

Primary practice location

332 Lillington Ave
Charlotte, NC 28204-3130

Mailing address

332 Lillington Ave
Charlotte, NC 28204-3130
Phone (704) 377-1216

Other identifiers 3

IdentifierTypeStateIssuer
138CFOtherNCBLUE CROSS BLUE SHIELD
89138CFMedicaidNC
809424OtherNCPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000696 NC Part B Supplier - Clinic/Group Practice 3971531302 Receives reassigned benefits from 4 practitioners
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1079167Joint & Muscle Medical Care and Research Institute332 Lillington Ave, Charlotte, NC 28204Certificate of waiverJun 5, 2028
34D2297837Joint and Muscle Medical Care332 Lillington Ave, Charlotte, NC 28204Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Locations

332 Lillington Ave
Charlotte, NC 28204
Phone (704) 377-1216

Practitioners & affiliated clinicians

Practitioners 4

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": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1174703946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 LILLINGTON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043130",
            "telephone_number": "704-377-1216",
            "fax_number": "704-210-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LILLINGTON AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043130",
            "telephone_number": "704-377-1216",
            "fax_number": "704-210-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT AND MUSCLE MEDICAL CARE , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "NAMI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-377-1216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "200400560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "138CF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138CF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "809424",
            "state": "NC"
        }
    ],
    "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 Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.