Organization Active NPI

Truecare Family Medicine, PLLC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1285936021
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200201174 Issued in NC
Legal business name
TRUECARE FAMILY MEDICINE, PLLC
Practice address
4936 Sarah Hall LN
Charlotte, NC 28270-0295
Phone
(704) 916-9895
Fax
(888) 419-0818
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Jack Paul Shepherd III, M.D.
Title
Owner
Phone
(704) 916-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 200201174 NC Primary

Addresses

Primary practice location

4936 Sarah Hall LN
Charlotte, NC 28270-0295

Mailing address

4936 Sarah Hall LN
Charlotte, NC 28270-0295
Phone (704) 916-9895

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1285936021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 SARAH HALL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700295",
            "telephone_number": "704-916-9895",
            "fax_number": "888-419-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 SARAH HALL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700295",
            "telephone_number": "704-916-9895",
            "fax_number": "888-419-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUECARE FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-916-9895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201174",
            "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 25, 2011; 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.