NPIMap

Organization Active NPI

Mdfamily Medical Group, PA

  • General Practice Physician
  • Charlotte, NC
National Provider Identifier
1477615474
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MDFAMILY MEDICAL GROUP, PA
Practice address
230 E W T Harris Blvd
Suite C-13
Charlotte, NC 28262-3492
Phone
(704) 688-0324
Fax
(704) 549-8043
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
William Murphy
Title
Credentialing/Finance Assistant
Phone
(704) 688-0324

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

230 E W T Harris Blvd
Suite C-13
Charlotte, NC 28262-3492

Mailing address

230 E W T Harris Blvd
Suite C-13
Charlotte, NC 28262-3492
Phone (704) 688-0324

Other names 1

  • MDFamily Medical Group, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mdfamily Medical Group21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

230 E Wt Harris Blvd
Ste C13
Charlotte, NC 28262
Phone (704) 510-3100

Practitioners & affiliated clinicians

Practitioners 1

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1477615474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E W T HARRIS BLVD",
            "address_2": "SUITE C-13",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623492",
            "telephone_number": "704-688-0324",
            "fax_number": "704-549-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E W T HARRIS BLVD",
            "address_2": "SUITE C-13",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623492",
            "telephone_number": "704-688-0324",
            "fax_number": "704-549-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDFAMILY MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CREDENTIALING/FINANCE ASSISTANT",
        "authorized_official_telephone_number": "704-688-0324"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDFamily Medical Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.