Functional Medicine Center of the Carolinas PC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

FUNCTIONAL MEDICINE CENTER OF THE CAROLINAS PC

Doing business as

Functional Medicine Center of the Carolinas

Practice address

400 Gilead Rd # 1555
Huntersville, NC 28078-6899

Phone

(704) 274-2005

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Rashid, MDNPI 1619993979

Title

Owner

Phone

(704) 770-6847

Specialties & licenses 2

Addresses

Other names 1

• Functional Medicine Center of the Carolinas Doing business as

Locations

Practitioners 1

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.

• Daniel Rashid, MD

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1619993979
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1275126757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14928 OLD VERMILLION DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785337",
            "telephone_number": "704-770-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GILEAD RD # 1555",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786899",
            "telephone_number": "704-274-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MEDICINE CENTER OF THE CAROLINAS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-770-6847",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Medicine Center of the Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darrell Freeman, M.D.
• Laura Friday, BCBA
• Front Page Services, LLC
• Annie Yee Fu, PHARM. D.
• Full Spectrum Therapy Services, PLLC
• Ava Elizabeth Furr
• Kytaina Gabriel, LCSWA
• Marcus Jamar Gaddy, MSW LCSWA
• Thanveer Reddy Gadwal, PHARMD
• Kyara Gage

• Nutrition Education Nutritionist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Nutrition Education Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.