Organization Active NPI

Charlotte Medical Center PLLC

  • Primary Care Clinic/Center
  • Charlotte, NC
National Provider Identifier
1194141978
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
140038 Issued in NC
Legal business name
CHARLOTTE MEDICAL CENTER PLLC
Practice address
7940 Williams Pond LN
Suite 250
Charlotte, NC 28277-8766
Phone
(704) 542-2500
Fax
(704) 542-2592
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Tuan Huynh, M.D.NPI 1669456513
Title
Owner
Phone
(704) 542-2500

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
Primary Care Clinic/Center 261QP2300X 140038 NC Primary

Addresses

Primary practice location

7940 Williams Pond LN
Suite 250
Charlotte, NC 28277-8766

Mailing address

7940 Williams Pond Lane
Suite 250
Charlotte, NC 28277-8412
Phone (704) 542-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327001473 NC Part B Supplier - Clinic/Group Practice 3375774730 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

10340 Park Rd
Ste A
Charlotte, NC 28210
Phone (704) 542-2500

10340 Park Rd
#A
Charlotte, NC 28210

7940 Williams Pond Ln
Ste 250
Charlotte, NC 28277
Phone (704) 341-7401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1194141978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 WILLIAMS POND LANE",
            "address_2": "SUITE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778412",
            "telephone_number": "704-542-2500",
            "fax_number": "704-542-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 WILLIAMS POND LN",
            "address_2": "SUITE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778766",
            "telephone_number": "704-542-2500",
            "fax_number": "704-542-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-542-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "140038",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.