NPIMap

Organization Active NPI

Cabarrus Emergency Medicine Associates, P.a.

  • Emergency Medicine Physician
  • Concord, NC
National Provider Identifier
1457309221
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
38808 Issued in NC
Legal business name
CABARRUS EMERGENCY MEDICINE ASSOCIATES, P.A.
Practice address
1028 Lee Ann Dr NE
Suite 200
Concord, NC 28025-2915
Phone
(704) 782-1892
NPI assigned
May 4, 2006
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Mollie King Lynch
Title
Administrator
Phone
(704) 782-1892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38808 NC Primary

Addresses

Primary practice location

1028 Lee Ann Dr NE
Suite 200
Concord, NC 28025-2915

Mailing address

1028 Lee Ann Dr NE
Suite 200
Concord, NC 28025-2915
Phone (704) 782-1892

Other identifiers 3

IdentifierTypeStateIssuer
890764XMedicaidNC
QPB900MedicaidSC
0764XOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

1028 Lee Ann Dr NE
Ste 200
Concord, NC 28025
Phone (704) 782-1892

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1457309221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LEE ANN DR NE",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252915",
            "telephone_number": "704-782-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 LEE ANN DR NE",
            "address_2": "SUITE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252915",
            "telephone_number": "704-782-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS EMERGENCY MEDICINE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-782-1892"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "38808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890764X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QPB900",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0764X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "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 May 15, 2009; 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.