CMC Northeast

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CMC NORTHEAST

Practice address

270 Copperfield Blvd NE
Suite 202
Concord, NC 28025-2441

Phone

(704) 721-2063

NPI assigned

May 15, 2010

Organization subpart

No

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

Authorized official

Name

Jackquelyn Harve

Title

Residency Coordinator

Phone

(704) 721-2063

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Monica Therese Lawler, MD

  • Family Medicine Physician
  • Concord, NC
  • NPI 1932441979
  NPD (past)
• Jackson Long, M.D.

  • Family Medicine Physician
  • Mt Pleasant, NC
  • NPI 1487032827
  NPD (past)
• Erica Green Carter, M.D.

  • Family Medicine Physician
  • Farmville, VA
  • NPI 1174841894
  NPD (past)

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1497073431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "MACON",
            "state": "NC",
            "postal_code": "275510129",
            "telephone_number": "252-767-8877",
            "fax_number": "252-257-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 COPPERFIELD BLVD NE",
            "address_2": "SUITE 202",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252441",
            "telephone_number": "704-721-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC NORTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-15",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "HARVE",
        "authorized_official_first_name": "JACKQUELYN",
        "authorized_official_title_or_position": "RESIDENCY COORDINATOR",
        "authorized_official_telephone_number": "704-721-2063"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber James Clontz, FNP
• Ashley Clontz, MSW
• Jasmine Arielle Clyde, DDS
• CMC - Northeast, Inc.
• CMC - Northeast, Inc.
• CMC Northeast
• CMC Northeast, Inc.
• CMC-Northeast Psychiatric Services
• CMC-Northeast, Inc.
• CMC-Northeast, Inc.

• Family Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.