Alfa Medical Clinic, PA
Organization Active NPI Internal Medicine Physician · Charlotte, NC
NPI 1750320271 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1750320271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 200200148 (NC)
- Legal business name
- ALFA MEDICAL CLINIC, PA
- Practice address
- 2540 W Arrowood Rd
Ste 110
Charlotte, NC 28273-6197 - Phone
- (704) 588-9997
- Fax
- (704) 588-9499
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Francis Obeng, MD
- Title
- Physician
- Phone
- (704) 588-9997
Practitioners 5
-
Francis Obeng, MD
-
Rita Osei-Obeng, NP
-
Amaya Edge, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D1055879 | Alfa Medical Clinic | Accreditation | Jul 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060915000452 | NC | Part B Supplier - Clinic/Group Practice | 0840295382 |
Receives reassigned benefits from 1 practitioner Practice locations: Charlotte, NC |
National Provider Directory
Locations
2540 W Arrowood Rd
Ste 110
Charlotte, NC 28273
Phone (704) 588-9997
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 200200148 | NC | Yes |
Addresses
Primary practice location
2540 W Arrowood Rd
Ste 110
Charlotte, NC 28273-6197
Mailing address
PO Box 77188
Charlotte, NC 28271-7004
Phone (704) 588-9997
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5917593 | Medicaid | NC | |
| 13155 | Other | NC | BCBS |
| 8913155 | Medicaid | NC | |
| P00275272 | Other | NC | MEDICARE RR |
Other providers in Charlotte, NC
- Taylor Alexander
- Teanna Hope Alexander
- Alexander'S Therapy and Consulting Services, PLLC
- Alexis Brightman, PLLC
- Alfa Med Equipment Inc
- Natalia Maria Alfaro-Malave
- George William Alford Sr.
- Keri Alford
- Kristen Leigh Alford
- Terry Curtis Alford
All providers in Charlotte, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.