Mountain Summit Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5009223 Issued in NC

Legal business name

MOUNTAIN SUMMIT MEDICAL LLC

Practice address

10523 Kempsford Dr
Charlotte, NC 28262-2720

Phone

(980) 337-0353

NPI assigned

Mar 27, 2017

Organization subpart

No

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

Authorized official

Name

Tremika Rene Woodley, NP

Title

NP

Phone

(980) 337-0353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1326579640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621858",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620128",
            "telephone_number": "980-337-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10523 KEMPSFORD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622720",
            "telephone_number": "980-337-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SUMMIT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "WOODLEY",
        "authorized_official_first_name": "TREMIKA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "980-337-0353",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "5009223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannell Sintell Moultrie, NP
• Mohammed Moumen, MD
• Mount Eagle Health Care-Charlotte, LLC
• Mountain Island Chiropractic
• Mountain Island Family Medicine, PC
• Mountain View Medical Services (University Senior Health Services)
• Mark Mounts II
• Rajesh Mourya, MBBS
• Essam Mouta
• Jon A. Mouzon, NP

• Primary Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.