Individual provider Active NPI

Michael M Amiri, MD

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1720161011
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
109177 Issued in NC
Practice address
3541 Randolph Rd
Charlotte, NC 28211-1082
Phone
(704) 335-9794
Fax
(704) 332-2329
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 200200197 NC
Neurology Physician 2084N0400X 109177 NC Primary

Addresses

Primary practice location

3541 Randolph Rd
Charlotte, NC 28211-1082

Mailing address

70 Lake Concord Rd NE
Concord, NC 28025-3057
Phone (980) 777-8311

Other practice location 1

8001 N Tryon St
Charlotte, NC 28262-3410
Phone (704) 335-9794

Other practice location 2

511 Lauchwood Dr
Laurinburg, NC 28352-5502
Phone (704) 335-9794

Other practice location 3

70 Lake Concord Rd NE
Concord, NC 28025-3057
Phone (704) 335-9794

Other identifiers 1

IdentifierTypeStateIssuer
891330HMedicaidNC

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
I20080822000351 NC Practitioner - Neurology 0446325625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mecklenburg Neurology GroupGroup PAC ID 4385999408, 6 clinicians

Practice addresses (Care Compare)

70 Lake Concord Rd NE
Concord, NC 28025-3057
Phone (704) 335-9794

Hospital & facility affiliations

  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109177NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mecklenburg Neurology Group Sleep Medicine CurrentSince Jun 15, 2018 Accepting new patients

Locations

1300 Baxter St
Ste 114
Charlotte, NC 28204
Phone (704) 333-3033

8001 N Tryon St
Charlotte, NC 28262
Phone (704) 335-9794

3541 Randolph Rd
Charlotte, NC 28211
Phone (704) 335-9794

70 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 335-3400

16507 Northcross Dr
Ste B
Huntersville, NC 28078
Phone (704) 335-3400

511 Lauchwood Dr
Laurinburg, NC 28352
Phone (704) 335-9794

1707 Berwick Dr
Ste A
Laurinburg, NC 28352
Phone (910) 276-2439

Interoperability endpoints

  • Direct secure messaging: michaelamirimd@meckneurology.medentdirect.com

Organizations & group practices 1

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 11

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1720161011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "980-777-8311",
            "fax_number": "980-777-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111082",
            "telephone_number": "704-335-9794",
            "fax_number": "704-332-2329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 N Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623410",
            "country_code": "US",
            "telephone_number": "704-335-9794",
            "fax_number": "704-332-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Lauchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525502",
            "country_code": "US",
            "telephone_number": "704-335-9794",
            "fax_number": "704-332-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Lake Concord Rd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253057",
            "country_code": "US",
            "telephone_number": "704-335-9794",
            "fax_number": "704-332-2329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIRI",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NC",
            "license": "200200197",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "109177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891330H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.