Organization Active NPI

Mecklenburg Radiology Associates, P.a.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1295790657
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MECKLENBURG RADIOLOGY ASSOCIATES, P.A.
Practice address
3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-1187
Phone
(704) 332-1291
Fax
(704) 332-5206
NPI assigned
Apr 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Catherine B French
Title
Executive Assistant
Phone
(980) 208-1704

Practitioners 130

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

View all 130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA, NY, OH, FL, KY, IL, MI, AL, NV, MA, VA, WI, WA, CT15 enrollments

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
O20040205001004 NC Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 84 practitioners
O20130225000107 PA Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20170824003278 NY Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 2 practitioners
Practice locations: East Aurora, NY; New York, NY
O20191108001040 OH Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH; Dublin, OH
O20210713001338 FL Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 3 practitioners
Practice locations: Delray Beach, FL; New Smyrna, FL; Odessa, FL
O20220210001153 KY Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Russell Springs, KY
O20230530000599 IL Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 2 practitioners
Practice locations: Inverness, IL; Belvidere, IL
O20240202002317 MI Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI
O20241003000047 AL Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL
O20241011001950 NV Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20250610000039 MA Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA; Cambridge, MA
O20251203000684 VA Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA
O20251208001113 WI Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Middleton, WI
O20260427001716 WA Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA
O20260608000721 CT Part B Supplier - Clinic/Group Practice 6800789587 Receives reassigned benefits from 1 practitioner
Practice locations: Norwalk, CT

National Provider Directory

National Provider Directory

Locations

6324 Fairview Rd
Ste 120A
Charlotte, NC 28210
Phone (704) 362-8444

2022 Vail Ave
Charlotte, NC 28207

3623 Latrobe Dr
Charlotte, NC 28211

1900 Randolph Rd
Ste 602
Charlotte, NC 28207
Phone (704) 384-9654

3623 Latrobe Dr
Ste 216
Charlotte, NC 28211
Phone (704) 926-1827

925 Bradley St NE
Concord, NC 28025
Phone (704) 262-9885

920 Cox Rd
Ste 101
Gastonia, NC 28054
Phone (704) 854-3933

10003 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

174 Fairview Rd
Mooresville, NC 28117

118 Gateway Blvd
Ste E
Mooresville, NC 28117
Phone (704) 662-8580

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NC Primary

Addresses

NPPES NPI Registry

Primary practice location

3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-1187

Mailing address

PO Box 221249
Charlotte, NC 28222-1249
Phone (704) 332-1291

Other practice location 1

1900 Randolph Rd Ste 602
Charlotte, NC 28207-1122
Phone (704) 384-9654

Other practice location 2

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5244

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
204224BOtherNCPTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2024.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1295790657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221249",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282221249",
            "telephone_number": "704-332-1291",
            "fax_number": "704-332-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR",
            "address_2": "SUITE 216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111187",
            "telephone_number": "704-332-1291",
            "fax_number": "704-332-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Randolph Rd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071122",
            "country_code": "US",
            "telephone_number": "704-384-9654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442732",
            "country_code": "US",
            "telephone_number": "704-210-5244",
            "fax_number": "704-210-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MECKLENBURG RADIOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "980-208-1704",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "204224B",
            "state": "NC"
        }
    ],
    "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 Feb 15, 2024; 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.