Active NPI
Mecklenburg Radiology Associates, P.a.
- Diagnostic Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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.
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- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1356324826
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1255523791
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1588647051
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1023092095
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1952612533
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1972587210
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1952306268
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1265470421
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1316205628
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1477058873
Diagnostic Radiology, NC
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1043848864
Diagnostic Radiology, MA
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, CT
Enrollment records 15
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204224B | Other | NC | PTAN |
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.