Individual provider Active NPI

George Louis Raad, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1679513998
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27283 Issued in NC
Practice address
1700 Abbey PL
Ste 201 Park Road Medical Clinic
Charlotte, NC 28209
Phone
(704) 523-2565
Fax
(704) 344-1241
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27283 NC Primary

Addresses

Primary practice location

1700 Abbey PL
Ste 201 Park Road Medical Clinic
Charlotte, NC 28209

Mailing address

PO Box 66
White Sulphur Springs, WV 24986-0066
Phone (304) 536-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110523000839 NC Practitioner - Family Practice 3779599170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Ballantyne Medical Associates PLLCGroup PAC ID 6305949223, 6 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

15640 Don Lochman LN
Suite a
Charlotte, NC 28277-4793
Phone (704) 540-1640

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27283NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ballantyne Medical Associates PLLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Carolina Express Clinic PastSince Aug 28, 2013 Accepting new patients

Locations

12311 Copper Way
Ste 100
Charlotte, NC 28277
Phone (704) 316-2916

15640 Don Lochman Ln
Ste A
Charlotte, NC 28277
Phone (704) 540-1640

3541 Randolph Rd
Ste 303
Charlotte, NC 28211
Phone (704) 333-0463

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1679513998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860066",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ABBEY PL",
            "address_2": "STE 201 PARK ROAD MEDICAL CLINIC",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-523-2565",
            "fax_number": "704-344-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAD",
        "first_name": "GEORGE",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "27283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.