Individual provider Active NPI

Waseem Ghannam

  • Family Medicine Physician
  • Pineville, NC
National Provider Identifier
1306080510
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-00517 Issued in NC
Practice address
9101 Pineville Matthews Rd Ste R
Pineville, NC 28134-8826
Phone
(910) 642-1776
NPI assigned
May 1, 2009
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2012-00517 NC Primary

Addresses

Primary practice location

9101 Pineville Matthews Rd Ste R
Pineville, NC 28134-8826

Mailing address

9101 Pineville Matthews Rd Ste R
Pineville, NC 28134-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WI, MI, NY, OK, TX, SC, GA, IA, VA, DC, IN, OH, PA, MD, WV, CT, FL, KY, NJ, MS, DE, MA, IL24 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
I20120718000878 NC Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 5092971085 Reassigns benefits to 9 organizations
I20181119000532 WI Practitioner - Family Practice 5092971085
I20200116002812 MI Practitioner - Hospitalist 5092971085 Reassigns benefits to 2 organizations
I20200423001942 NY Practitioner - Hospitalist 5092971085 Reassigns benefits to 1 organization
I20200828000226 OK Practitioner - Hospitalist 5092971085 Reassigns benefits to 2 organizations
I20220428002256 TX Practitioner - Family Practice 5092971085 Reassigns benefits to 2 organizations
I20230118002822 SC Practitioner - Family Practice 5092971085 Reassigns benefits to 2 organizations
I20230907002910 GA Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20240912001754 IA Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20250403000111 VA Practitioner - Family Practice 5092971085 Reassigns benefits to 2 organizations
I20250403001982 DC Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20250404000236 IN Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20250404003215 OH Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20250407001498 PA Practitioner - Family Practice 5092971085 Reassigns benefits to 2 organizations
I20250407002242 MD Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20250410003581 WV Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20250818001337 CT Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20251201002094 FL Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20260107003445 KY Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20260128001569 NJ Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20260313003479 MS Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20260320002861 DE Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20260413002239 MA Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization
I20260616001067 IL Practitioner - Family Practice 5092971085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Post Acute Clinical Services PLLCGroup PAC ID 1951807627, 17 clinicians
After Hours Urgent Care Center PLLCGroup PAC ID 5496297707, 4 clinicians

Practice addresses (Care Compare)

Lexington, KY 40509
Phone (317) 510-0758

100 Overlook Ctr
FL 2
Princeton, NJ 08540-7814
Phone (317) 510-0758

1234 Washington Rd
Westminster Healthcare Center
Westminster, MD 21157-5854
Phone (410) 848-0700

144 Washington Rd
South River Healthcare Center
Edgewater, MD 21037-1412
Phone (410) 956-5000

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

620 Tom Hunter Rd
Charlotte, NC 28213-5511
Phone (704) 231-4571

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000

906 Thompson St
Ashland, VA 23005-1128
Phone (704) 231-4571

9101 Pineville Matthews Rd
Suite R
Pineville, NC 28134-8826
Phone (704) 253-4400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-00517NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Post Acute Telehealth PC Family Medicine CurrentSince Oct 14, 2024 Accepting new patients
Longevity Clinical LTC Associates of South Carolina, PC Family Medicine CurrentSince May 25, 2023 Accepting new patients
Wilkes Physician Network, Inc. Family Medicine Current Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc CurrentSince Aug 14, 2020 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Jul 15, 2020 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Current Accepting new patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients
Longevity Accountable Care, PA CurrentSince Jun 1, 2024 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jun 1, 2024 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Oct 24, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 1, 2012 Accepting new patients
Hospitalist Solution, PLLC Internal Medicine CurrentSince Sep 3, 2018 Accepting new patients
Careathome Medical Practice Ky Family Medicine CurrentSince Aug 15, 2024 Accepting new patients
Carolinas Physicians Network, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Columbus Regional Health Network Internal Medicine Current Accepting new patients
Post Acute Clinical Services PLLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Healthdrive Medical Services, PC Family Medicine CurrentSince Feb 13, 2025 Accepting new patients
Longevity Clinical LTC Associates of Georgia, PC Family Medicine CurrentSince May 17, 2023 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Oct 20, 2013 Accepting new patients
Longevity Clinical LTC Associates of Texas, PLLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Columbus Regional Health Network CurrentSince Jan 12, 2015 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Jul 15, 2020 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. CurrentSince Oct 24, 2016 Accepting new patients
Columbus Regional Health Network Family Medicine CurrentSince Jan 12, 2015 Accepting new patients
After Hours Urgent Care Center, PLLC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Aug 14, 2020 Accepting new patients
Scotland Regional Health Network CurrentSince Jan 12, 2015 Accepting new patients
Scotland Regional Health Network CurrentSince Jan 12, 2015 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Oct 20, 2013 Accepting new patients
Scotland Regional Health Network Internal Medicine Current Accepting new patients
Horizon Medical, P.a. Family Medicine Past Accepting new patients
Longevity Clinical LTC Associates of Ohio, Inc. Family Medicine PastSince Aug 1, 2023 Accepting new patients
Value Based Long Term Care H PC PastSince Jan 1, 2025 Accepting new patients
Longevity Accountable Care, PA Family Medicine Past Accepting new patients
Doctors Within Reach PLLC Internal Medicine PastSince Nov 1, 2020 Accepting new patients
Longevity Clinical LTC Associates of Virginia, PLLC Family Medicine PastSince Aug 23, 2023 Accepting new patients
Chronic Care Specialists of Ma PC Internal Medicine PastSince Dec 1, 2025 Accepting new patients
Icare Health Group, PLLC Family Medicine Past Accepting new patients
Horizon Medical P.C. Family Medicine Past Accepting new patients
Valley Nursing Healthcare LLC Past Accepting new patients
Monroe Rehabilitation Center, LLC Past Accepting new patients
Longevity Clinical LTC Associates of Illinois PLLC Family Medicine Past Accepting new patients
Healthdrive Medical Services of Texas LLC PastSince Oct 20, 2025 Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients
Cogent Healthcare of North Carolina, PC Family Medicine Past Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients
Lincolnton Rehabilitation Center, LLC Past Accepting new patients
Westminister Nursing Center Inc Past Accepting new patients
Longevity Long Term Medical Care of Pennsylvania PLLC PastSince May 2, 2023 Accepting new patients
Longevity Accountable Care, PA Family Medicine Past Accepting new patients

Locations (25 of 50)

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

1040 Crown Pointe Pkwy
Ste 600
Atlanta, GA 30338
Phone (770) 698-9040

191 Peachtree St NE
Fl 14
Atlanta, GA 30303
Phone (404) 502-1905

699 Walnut St
Ste 411
Des Moines, IA 50309
Phone (888) 563-2823

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

8045 E Jefferson Ave
Detroit, MI 48214
Phone (313) 821-3525

2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000

120 N Washington Sq
Ste 300
Lansing, MI 48933
Phone (317) 510-0758

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

338 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 502-8570

6001 Wilora Lake Rd
Charlotte, NC 28212
Phone (704) 563-2922

620 Tom Hunter Rd
Charlotte, NC 28213
Phone (704) 598-5136

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26485/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe Rehabilitation CenterMonroe, NC, CCN 345254 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2025
Jun 1, 2025
Lincolnton Rehabilitation CenterLincolnton, NC, CCN 345159 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 1, 2025
Nov 1, 2025
Zebulon Rehabilitation CenterZebulon, NC, CCN 345104 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2026
May 1, 2026
Rocky Mount Rehabilitation CenterRocky Mount, NC, CCN 345260 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2026
May 1, 2026
Crown Haven Health and RehabilitationCharlotte, NC, CCN 345388 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2025
May 1, 2025
Ashland Nursing and RehabilitationAshland, VA, CCN 495362 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 1, 2026
Apr 1, 2026

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 55

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 55

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1306080510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 PINEVILLE MATTHEWS RD STE R",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PINEVILLE MATTHEWS RD STE R",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348826",
            "telephone_number": "910-642-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANNAM",
        "first_name": "WASEEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-00517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

Verify at the official NPI Registry.