NPIMap

Organization Active NPI

MCM Pediatric and Adolescent Home Practice, P.a.

  • Pediatric Adolescent Medicine Physician
  • Rockingham, NC
National Provider Identifier
1205967460
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
2005-01870 Issued in NC
Legal business name
MCM PEDIATRIC AND ADOLESCENT HOME PRACTICE, P.A.
Practice address
711 S Long Dr
Rockingham, NC 28379-4315
Phone
(910) 997-7180
Fax
(910) 997-3830
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dr. Mohamed Merghani, MDNPI 1649301714
Title
MD
Phone
(910) 997-7180

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 2005-01870 NC Primary

Addresses

Primary practice location

711 S Long Dr
Rockingham, NC 28379-4315

Mailing address

711 S Long Dr
Rockingham, NC 28379-4315
Phone (910) 997-7180

Other names 1

  • MCM Pediatric And Adolescent Home Practice, P.A. Other name

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
34D0245505MCM Pediatric and Adolescent Home Practice PA711 Long Drive, Rockingham, NC 28379Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

Locations

711 S Long Dr
Rockingham, NC 28379
Phone (910) 997-7180

Practitioners & affiliated clinicians

Practitioners 3

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1205967460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-997-7180",
            "fax_number": "910-997-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-997-7180",
            "fax_number": "910-997-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM PEDIATRIC AND ADOLESCENT HOME PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "MERGHANI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "910-997-7180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "2005-01870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCM Pediatric And Adolescent Home Practice, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.