Teague Internal Medicine and Enrichment PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TEAGUE INTERNAL MEDICINE AND ENRICHMENT PLLC

Practice address

6842 Carnegie Blvd Ste 202
Charlotte, NC 28211-3500

Phone

(980) 270-4588

Fax

(980) 351-1277

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Carmen Teague, MDNPI 1780602086

Title

Physician/ Owner

Phone

(704) 996-4593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen I. Teague, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1780602086
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1740029438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 CARNEGIE BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113500",
            "telephone_number": "980-270-4588",
            "fax_number": "980-351-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 CARNEGIE BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113500",
            "telephone_number": "980-270-4588",
            "fax_number": "980-351-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAGUE INTERNAL MEDICINE AND ENRICHMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "704-996-4593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy L. Teaff, M.D.
• Carmen I. Teague, MD
• Daloria Teague, LCSW
• Kristin Kathleen Teague, PA-C
• Menwonseh Teah
• Teal Peoples, Holistic Counseling & Consultation, PLLC

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.