NPIMap

Organization Active NPI

Cabarrus Gastroenterology Associates, PLLC

  • Gastroenterology Physician
  • Concord, NC
National Provider Identifier
1417514522
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC
Practice address
9965 Poplar Tent Rd
Concord, NC 28027-9304
Phone
(704) 783-1840
NPI assigned
May 23, 2019
Organization subpart
Yes
Parent organization
CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Mrs. Chelsea Nazal
Title
Practice Administrator
Phone
(704) 783-1863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

9965 Poplar Tent Rd
Concord, NC 28027-9304

Mailing address

1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (047) 831-8637

Other names 1

  • Northeast Digestive Poplar Tent Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000342 NC Part B Supplier - Clinic/Group Practice 9436059649 Receives reassigned benefits from 65 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Concord, NC; Salisbury, NC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Cabarrus Gastroenterology Associates PLLC

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1417514522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 VINEHAVEN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252438",
            "telephone_number": "047-831-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9965 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279304",
            "telephone_number": "704-783-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "NAZAL",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-783-1863",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Digestive Poplar Tent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 2019; 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.