Active NPI
Charlotte Medical Clinic Inc
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1386947828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHARLOTTE MEDICAL CLINIC INC
- Practice address
- 10650 Park Rd
Ste 300
Charlotte, NC 28210-8538 - Phone
- (704) 667-3960
- NPI assigned
- Dec 6, 2010
- Organization subpart
- Yes
- Parent organization
- CHARLOTTE MEDICAL CLINIC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Laymon
- Title
- Senior Vice President
- Phone
- (704) 446-8250
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X |
Addresses
Primary practice location
10650 Park Rd
Ste 300
Charlotte, NC 28210-8538
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names 1
- Charlotte Medical Clinic
National Provider Directory
National Provider Directory- Part of
- Charlotte Medical Clinic Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Charlotte, NC
- NPI 1396886099
Member Of
-
- Orthopaedic Surgery Physician
- Denver, NC
- NPI 1477884302
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583107200000",
"number": "1386947828",
"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",
"telephone_number": "704-631-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 PARK RD",
"address_2": "STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108538",
"telephone_number": "704-667-3960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE MEDICAL CLINIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHARLOTTE MEDICAL CLINIC INC",
"enumeration_date": "2010-12-06",
"last_updated": "2020-03-02",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "704-446-8250"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Charlotte Medical Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Charlotte Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- Charlotte Medical Clinic
- Charlotte Medical Clinic
- Charlotte Medical Clinic
- Charlotte Medical Clinic Inc
- Charlotte Medical Clinic Inc
- Charlotte Medical Euipment
- Charlotte Mental Health Services PLLC
- Charlotte Metro Transportation, LLP
- Charlotte Minimally Invasive Surgical Associates PLLC
- Charlotte Music Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.