Organization Active NPI

Cabarrus Urgent Care

  • Family Medicine Physician
  • Concord, NC
National Provider Identifier
1922037845
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CABARRUS URGENT CARE
Practice address
888 Church St N
Concord, NC 28025-4350
Phone
(704) 786-6122
Fax
(704) 784-9102
NPI assigned
Jul 2, 2006
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Daniel L Wiens
Title
Senior Vice President
Phone
(704) 355-0648

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

888 Church St N
Concord, NC 28025-4350

Mailing address

PO Box 601351
Charlotte, NC 28260-1351
Phone (704) 786-6122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031219000455 NC Part B Supplier - Clinic/Group Practice 3375449655 Receives reassigned benefits from 1,949 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

1000 Blythe Blvd
Fl 4
Charlotte, NC 28203
Phone (704) 355-8188

101 E Wt Harris Blvd
Ste 1213
Charlotte, NC 28262
Phone (704) 863-1950

1021 Morehead Medical Dr
Ste 5100A
Charlotte, NC 28204
Phone (704) 512-2999

11530 Providence Rd
Ste 2100
Charlotte, NC 28277
Phone (704) 446-5070

1237 Harding Pl
Ste 3100
Charlotte, NC 28204

1237 Harding Pl
Ste 4100
Charlotte, NC 28204
Phone (704) 355-8816

4525 Cameron Valley Pkwy
Ste 160
Charlotte, NC 28211

4525 Cameron Valley Pkwy
Ste 250
Charlotte, NC 28211

5727 Prosperity Crossing Dr
Charlotte, NC 28269
Phone (704) 863-9800

6025 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 667-4480

7810 Providence Rd
Ste 102
Charlotte, NC 28226
Phone (704) 393-4808

1585 Forney Creek Pkwy
Ste 1200
Denver, NC 28037
Phone (704) 348-1855

5427 NC Highway 49 S
Ste 102
Harrisburg, NC 28075
Phone (704) 454-7360

1550 Faulk St
Ste 1200
Monroe, NC 28112

340 Jake Alexander Blvd W
Ste C
Salisbury, NC 28147
Phone (704) 403-8320

709 N DeKalb St
Shelby, NC 28150
Phone (704) 403-2626

2700 S Providence Rd
Ste 2100
Waxhaw, NC 28173

1690 Highway 160 W
Fort Mill, SC 29708
Phone (803) 547-7541

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1922037845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601351",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601351",
            "telephone_number": "704-786-6122",
            "fax_number": "704-784-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254350",
            "telephone_number": "704-786-6122",
            "fax_number": "704-784-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2009; 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.