Organization Active NPI

Family First Medical Center, PLLC

  • Primary Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1669035879
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
FAMILY FIRST MEDICAL CENTER, PLLC
Practice address
4920 Albemarle Rd
Charlotte, NC 28205-6618
Phone
(980) 218-9210
Fax
(980) 218-9714
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Ms. Pauline Sylvia Parker, APRN
Title
Aprn, Ceo
Phone
(980) 218-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

4920 Albemarle Rd
Charlotte, NC 28205-6618

Mailing address

1940 S Mint St
Charlotte, NC 28203-4629
Phone (704) 315-8277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1669035879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S MINT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034629",
            "telephone_number": "704-315-8277",
            "fax_number": "704-379-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056618",
            "telephone_number": "980-218-9210",
            "fax_number": "980-218-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "SYLVIA",
        "authorized_official_title_or_position": "APRN, CEO",
        "authorized_official_telephone_number": "980-218-9210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 2019; 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.