Active NPI
Michael M Amiri, MD
- Neurology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 109177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891330H | Medicaid | NC |
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
Enrollment records 1
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
Practice addresses (Care Compare)
70 Lake Concord Rd NE
Concord, NC 28025-3057
Phone (704) 335-9794
Hospital & facility affiliations
- Scotland Memorial Hospital
- Novant Health Presbyterian Medical Center
- Firsthealth Moore Regional Hospital
- Southeastern Regional Medical Center
- Novant Health Rowan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109177 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecklenburg Neurology Group | Sleep Medicine | Current | 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
- 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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Concord, NC
- NPI 1417446691
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
-
- General Acute Care Hospital
- Lumberton, NC
- NPI 1427030774
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.