Active NPI
Marc Kenneth Dy, MD
- Family Medicine Physician
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9601293
- Practice address
- 10030 Edison Square Dr NW
Ste 100
Concord, NC 28027-8308 - Phone
- (704) 403-7830
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9601293 | NC | |
| Family Medicine Physician | 207Q00000X | 9601293 | NC | Primary |
Addresses
Primary practice location
10030 Edison Square Dr NW
Ste 100
Concord, NC 28027-8308
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Other practice location 2
1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone (704) 355-4300
Other practice location 3
2301 US Highway 74 W
Wadesboro, NC 28170-7554
Phone (704) 994-4500
Other practice location 4
201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | mdy128715@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050317000778 | NC | Practitioner - Family Practice | 4587619010 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Hahneman Medical College of the Pacific, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10030 Edison Square Dr NW
Suite 100
Concord, NC 28027-8309
Phone (704) 403-7830
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Carolinas Medical Center-Northeast
- Atrium Health University City
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients | |
| Carolinas Physicians Network, Inc | Family Medicine | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1100 Blythe Blvd
Charlotte, NC 28203
Phone (704) 355-4300
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
10030 Edison Square Dr NW
Ste 100
Concord, NC 28027
Phone (704) 403-7830
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131
Interoperability endpoints
- mdy128715@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Shelby, NC
- NPI 1760824700
Family Medicine
-
- Internal Medicine Physician
- Concord, NC
- NPI 1023445517
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
Family Medicine
-
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1033489687
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
Hospital
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1366412207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10030 EDISON SQUARE DR NW",
"address_2": "STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278308",
"telephone_number": "704-403-7830"
}
],
"practiceLocations": [
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035814",
"country_code": "US",
"telephone_number": "704-355-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 US Highway 74 W",
"address_purpose": "LOCATION",
"city": "Wadesboro",
"state": "NC",
"postal_code": "281707554",
"country_code": "US",
"telephone_number": "704-994-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Grover St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281503917",
"country_code": "US",
"telephone_number": "980-487-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DY",
"first_name": "MARC",
"middle_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2025-09-25",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "9601293",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9601293",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdy128715@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "10030 Edison Square Dr NW",
"address_2": "Ste 100",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280278308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.