Organization Active NPI

Acrolyst Physician Resources

Doing business as Medical Associates of Kings Mtn

  • Internal Medicine Physician
  • Kings Mountain, NC
National Provider Identifier
1417016023
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ACROLYST PHYSICIAN RESOURCES
Doing business as
Medical Associates of Kings Mtn
Practice address
827 E King Street
Kings Mountain, NC 28086
Phone
(704) 739-7880
Fax
(704) 739-7887
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael L Adix, DO
Title
President
Phone
(704) 739-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

827 E King Street
Kings Mountain, NC 28086

Mailing address

PO Box 1087
Kings Mountain, NC 28086
Phone (704) 739-7880

Other names 1

  • Medical Associates of Kings Mtn Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417016023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "28086",
            "telephone_number": "704-739-7880",
            "fax_number": "704-739-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E KING STREET",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "28086",
            "telephone_number": "704-739-7880",
            "fax_number": "704-739-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACROLYST PHYSICIAN RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADIX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-739-7887",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates of Kings Mtn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.