Juan Carlos Londono, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2007-01119 Issued in NC

Practice address

6824 Harrisburg Rd
Charlotte, NC 28227-3389

Phone

(704) 870-6014

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4
• Direct secure messaging: jlondono18710@direct.novanthealth.org
• Direct secure messaging: juan.londono.1@11975.direct.athenahealth.com

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.

• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092

  Family Medicine, NC

  Medicare reassignment NPD
• Osh Mi Physicians Group, PC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1720635790
  NPD
• Cabarrus Urgent Care

  • Family Medicine Physician
  • Concord, NC
  • NPI 1922037845

  Family Medicine

  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1386653830

  Family Medicine

  NPD (past)
• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1497762686

  Family Medicine

  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Huntersville, NC
  • NPI 1508892746

  Family Medicine

  NPD (past)
• Iclinic, PA

  • Internal Medicine Physician
  • Winston-Salem, NC
  • NPI 1316999691
  NPD (past)
• Llibott Consultorios Medicos- WS,PLLC

  • Primary Care Clinic/Center
  • Winston Salem, NC
  • NPI 1487030060
  NPD (past)
• Union Urgent Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Monroe, NC
  • NPI 1063421469

  Family Medicine

  NPD (past)
• Union Urgent Care LLC

  • Family Medicine Physician
  • Indian Trail, NC
  • NPI 1659380079

  Family Medicine

  NPD (past)
• Redimed Dekalb LLC

  • General Practice Physician
  • Auburn, IN
  • NPI 1669417457
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1811069941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-289-8427",
            "fax_number": "704-283-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 HARRISBURG RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273389",
            "telephone_number": "704-870-6014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 E Franklin St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125160",
            "country_code": "US",
            "telephone_number": "704-289-8427",
            "fax_number": "704-283-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-01119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02332176",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907835",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlondono18710@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1420 E Franklin St",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Lombard
• Deborah Weathers Lombardi, PMHCNS, BC
• Vincent Alan Lombardi, MD
• Nicholas John Lomenzo
• Leslie London, APRN, ACNS-BC
• Londry & Modlin III, DDS, PLLC
• Londyn Homecare Agency L.L.C
• Long ,Laxer & Savage DDS, PLLC
• Bobbie Fish Long, RD
• Brian K Long, M.D.

• All providers in Charlotte, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.