Organization Active NPI

Compassionate Addiction Care PLLC

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1255192076
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPASSIONATE ADDICTION CARE PLLC
Practice address
7349 Statesville Rd Ste 100
Charlotte, NC 28269-3702
Phone
(704) 604-3515
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Edward Mogabgab, MD
Title
Owner
Phone
(704) 467-4923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7349 Statesville Rd Ste 100
Charlotte, NC 28269-3702

Mailing address

7349 Statesville Rd Ste 100
Charlotte, NC 28269-3702
Phone (704) 604-3515

National Provider Directory

National Provider Directory

Locations

7349 Statesville Rd
Ste 100
Charlotte, NC 28269
Phone (704) 604-3515

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1255192076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 STATESVILLE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693702",
            "telephone_number": "704-604-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 STATESVILLE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693702",
            "telephone_number": "704-604-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE ADDICTION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MOGABGAB",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-467-4923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.