Organization Active NPI

Doctors Plus PLLC

  • Family Medicine Physician
  • Concord, NC
National Provider Identifier
1649679192
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200700071 Issued in NC
Legal business name
DOCTORS PLUS PLLC
Practice address
205 Branchview Dr NE
Concord, NC 28025-3416
Phone
(704) 440-4689
Fax
(704) 288-3433
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Sharon K Vandale
Title
Billing Manager
Phone
(704) 262-3833

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 200700071 NC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 200700071 NC Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 200700071 NC

Addresses

Primary practice location

205 Branchview Dr NE
Concord, NC 28025-3416

Mailing address

205 Branchview Dr NE
Concord, NC 28025-3416
Phone (704) 440-4689

Other identifiers 1

IdentifierTypeStateIssuer
5905797MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1649679192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BRANCHVIEW DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253416",
            "telephone_number": "704-440-4689",
            "fax_number": "704-288-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BRANCHVIEW DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253416",
            "telephone_number": "704-440-4689",
            "fax_number": "704-288-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PLUS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "VANDALE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "704-262-3833"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200700071",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200700071",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "200700071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905797",
            "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 Aug 21, 2014; 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.