Northgate Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9701402 Issued in NC

Legal business name

NORTHGATE FAMILY MEDICINE

Practice address

1028 Lee Ann Dr NE
Suite 100
Concord, NC 28025-2911

Phone

(704) 788-1134

Fax

(704) 788-1186

NPI assigned

Jun 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Lee Holland, MDNPI 1043212764

Title

Owner

Phone

(704) 788-1134

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Lee Holland, MD

  • Hospitalist Physician
  • Salisbury, NC
  • NPI 1043212764

  Family Medicine

  NPD (past) Authorized official
• Matthew Philip Harrison, M.D.

  • Hospitalist Physician
  • Salisbury, NC
  • NPI 1801897228

  Family Medicine

  NPD (past)
• Michael Everett Franklin, PA-C

  • Medical Physician Assistant
  • Canton, GA
  • NPI 1952303679
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679514624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 LEE ANN DR NE",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-788-1134",
            "fax_number": "704-788-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 LEE ANN DR NE",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-788-1134",
            "fax_number": "704-788-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-788-1134",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891326J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northland Hearing Centers, Inc. (All American Hearing)
• Northpoint Eye Studio OD PA
• Lucia Novak, PA-C
• Novant Health Enterprises Imaging, LLC (Novant Health Imaging Copperfield)
• Novant Health Medical Group, LLC (Novant Health Lakeside Primary Care)

• 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 Aug 22, 2020; 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.