Active NPI
Carolina Medical Clinic PC
- Internal Medicine Physician
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amin Charania
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Concord, NC
- NPI 1639174295
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
- Carolina Community Group Cabarrus
- Carolina Counseling Inc.
- Carolina ENT Specialists, PA
- Carolina International School
- Carolina Med-Plus Inc
- Carolina Medical Diagnostics
- Carolina Neurosurgery & Spine Associates, PA
- Carolina Pediatric Eye Specialists, PLLC
- Carolina Physical Therapy Associates LLC (CORA Physical Therapy - Concord)
- Carolina Point Home
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.