Pinnacle Medical Clinic, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9800405 Issued in NC

Legal business name

PINNACLE MEDICAL CLINIC, P.A.

Practice address

2401 Tuckaseegee Rd
Charlotte, NC 28208-4058

Phone

(704) 409-3000

Fax

(704) 409-2382

NPI assigned

Jan 8, 2007

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennyffer Barcelo

Title

Administrator

Phone

(704) 409-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pinnacle Medical Clinic,P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 4

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.

• Abelyn Agbai, FNP

  • Family Nurse Practitioner
  • Concord, NC
  • NPI 1447148978
  Medicare reassignment Care Compare group NPD
• Julius Kehinde Tokunboh, M.D.

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1952410110
  Medicare reassignment Care Compare group NPD
• Eden Asefaw Ghebresilasie, PA

  • Physician Assistant
  • North Miami Beach, FL
  • NPI 1164591400

  NC

  Medicare reassignment Care Compare group
• Nequita Latasha Denora Ragas, FNP-C

  • Family Nurse Practitioner
  • Gastonia, NC
  • NPI 1902606569
  Medicare reassignment

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1891843967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "704-409-3000",
            "fax_number": "704-409-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084058",
            "telephone_number": "704-409-3000",
            "fax_number": "704-409-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BARCELO",
        "authorized_official_first_name": "JENNYFFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-409-3000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9800405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016R2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Medical Clinic,P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Quenesha Deshawn Pinkney, LCSW-A
• Glen Roy Pinkston Jr., M.D.
• Pinnacle Care PLLC
• Pinnacle Family Services of North Carolina LLC
• Pinnacle Life Innovations LLC
• Pinnacle Physicians Network, PA
• Pinnacle Place LLC
• Pinnacle Place LLC
• Pinnacle Point Supportive Services, LLC
• Pinnacle Telecounseling PLLC

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.