Mecklenburg Neurology Group

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

9400705 Issued in NC

Legal business name

MECKLENBURG NEUROLOGY GROUP

Doing business as

Mecklenburg Neurology Group

Practice address

70 Lake Concord Rd NE
Concord, NC 28025-3057

Phone

(980) 777-8311

Fax

(980) 777-8274

NPI assigned

May 3, 2018

Last updated

Aug 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael M Amiri, MDNPI 1720161011

Title

Owner

Phone

(704) 335-9794

Specialties & licenses 1

Addresses

Other names 1

• Mecklenburg Neurology Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael M Amiri, MD

  • Neurology Physician
  • Charlotte, NC
  • NPI 1720161011

  Sleep Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Robert A Nahouraii, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Concord, NC
  • NPI 1104877224

  SC

  Medicare reassignment Care Compare group NPD
• Kelly Yia Xiong, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1740670702
  Medicare reassignment Care Compare group NPD
• Harold Reeves

  • Neurology Physician
  • Rock Hill, SC
  • NPI 1508890294

  NC

  Medicare reassignment Care Compare group NPD
• Kathryn Elizabeth Bell, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1861162422
  Medicare reassignment Care Compare group
• Sharon Marie Hooper, PA

  • Medical Physician Assistant
  • Rock Hill, SC
  • NPI 1821387325
  Medicare reassignment Care Compare group
• Robert Kenneth Harrell, D.D.S.

  • General Practice Dentistry
  • Laurinburg, NC
  • NPI 1922104231
  NPD (past)

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1417446691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "980-777-8311",
            "fax_number": "980-777-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "980-777-8311",
            "fax_number": "980-777-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623410",
            "country_code": "US",
            "telephone_number": "704-335-9794",
            "fax_number": "704-332-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Launchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "28352",
            "country_code": "US",
            "telephone_number": "704-335-9794",
            "fax_number": "704-332-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3541 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111082",
            "country_code": "US",
            "telephone_number": "704-335-3400",
            "fax_number": "704-332-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Herlong Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321193",
            "country_code": "US",
            "telephone_number": "704-335-9794",
            "fax_number": "704-332-2329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MECKLENBURG NEUROLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "AMIRI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-335-9794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NC",
            "license": "9400705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mecklenburg Neurology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl D McQueen
• Chad Warren McRee, MD
• Kathleen Michaela McSloy, LCSWA
• Ansley Elizabeth McSwain, M.S. CCC-SLP
• Linda Morris Meadows
• Medcare Transport of NC
• Medi-Go LLC
• Medical Home Health of Cabarrus,Inc (Home Oxygen & Medical Equipment)
• Medical Innovations Concepts, P.C.
• Medical Practice of Concord, PC

• Sleep Medicine (Psychiatry & Neurology) Physician in Concord, NC
• Providers in Concord, NC by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.