Organization Active NPI

MC Family Medical, PLLC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1780825539
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MC FAMILY MEDICAL, PLLC
Practice address
6700 Albemarle Rd
Charlotte, NC 28212-3856
Phone
(704) 921-1000
Fax
(704) 921-1022
NPI assigned
Mar 8, 2009
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Mrs. Huong T Nguyen
Title
Office Manager
Phone
(803) 526-6069

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NC Primary
Health Service Clinic/Center 261QH0100X 001000864 NC
Health Service Clinic/Center 261QH0100X 34951 NC

Addresses

Primary practice location

6700 Albemarle Rd
Charlotte, NC 28212-3856

Mailing address

6700 Albemarle Rd
Charlotte, NC 28212-3856
Phone (704) 921-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000414 NC Part B Supplier - Clinic/Group Practice 6103976485 Receives reassigned benefits from 10 practitioners
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1097829MC Family Medical, PLLC6700 Albemarle Road, Charlotte, NC 28212Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Locations

8820 University East Dr
Ste A
Charlotte, NC 28213
Phone (704) 408-6285

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1236470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1780825539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123856",
            "telephone_number": "704-921-1000",
            "fax_number": "704-921-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALBEMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282123856",
            "telephone_number": "704-921-1000",
            "fax_number": "704-921-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC FAMILY MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-08",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUONG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-526-6069",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "001000864",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "34951",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 19, 2016; 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.