Active NPI
Medical Center at Northcross
- Family Medicine Physician
- Huntersville, NC
National Provider Identifier
1689946147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICAL CENTER AT NORTHCROSS
- Practice address
- 16511A Northcross Dr Ste a
Huntersville, NC 28078-5081 - Phone
- (704) 896-3313
- Fax
- (704) 896-8193
- NPI assigned
- Jan 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Eanni, M.D
- Title
- President
- Phone
- (704) 896-3313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
16511A Northcross Dr Ste a
Huntersville, NC 28078-5081
Mailing address
16511A Northcross Dr Ste a
Huntersville, NC 28078-5081
Phone (704) 896-3313
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327881600000",
"number": "1689946147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16511A NORTHCROSS DR STE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785081",
"telephone_number": "704-896-3313",
"fax_number": "704-896-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16511A NORTHCROSS DR STE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785081",
"telephone_number": "704-896-3313",
"fax_number": "704-896-8193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER AT NORTHCROSS",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A",
"authorized_official_last_name": "EANNI",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-896-3313",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
- Kerstin Ann McMillian, MA, LCMHCA
- Tayler Gabrielle Mebane, MS, APRN, FNP-C
- Mecklenburg Medical Group
- Mecklenburg Medical Group
- Taylor Medford
- Meeting Milestones Speech Services, PLLC
- Hardik Jaswantlal Mehta, M.D.
- Meletiou & Meletiou DDS, PA
- Christopher D. Meletiou, DDS
- Demetrios S. Meletiou Jr., DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.