Organization Active NPI

Carolina Medical Clinic PC

  • Internal Medicine Physician
  • Concord, NC
National Provider Identifier
1891796439
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA MEDICAL CLINIC PC
Practice address
1000 Copperfield Blvd NE
Suite 124
Concord, NC 28025
Phone
(704) 782-6868
Fax
(704) 782-7585
NPI assigned
Aug 4, 2005
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Amin CharaniaNPI 1639174295
Title
Director
Phone
(704) 782-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1000 Copperfield Blvd NE
Suite 124
Concord, NC 28025

Mailing address

1000 Copperfield Blvd NE
Suite 124
Concord, NC 28025
Phone (704) 782-6868

Other names 1

  • CAROLINA MEDICAL CLINIC Other name

National Provider Directory

National Provider Directory

Locations

1000 Copperfield Blvd NE
#1
Concord, NC 28025

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1891796439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COPPERFIELD BLVD NE",
            "address_2": "SUITE 124",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-782-6868",
            "fax_number": "704-782-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COPPERFIELD BLVD NE",
            "address_2": "SUITE 124",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-782-6868",
            "fax_number": "704-782-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "CHARANIA",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-782-6868"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.