NPIMap

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
Organization subpart
No

Authorized official

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

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

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

Locations

307 Yadkin St
Albemarle, NC 28001
Phone (980) 323-6180

275 Beatty Dr
Belmont, NC 28012
Phone (704) 355-9330

1237 Harding Pl
#2400
Charlotte, NC 28204

101 E Wt Harris Blvd
Ste 5401
Charlotte, NC 28262
Phone (704) 863-1400

2709 Water Ridge Pkwy
Ste 500
Charlotte, NC 28217
Phone (704) 446-9173

1237 Harding Pl
Ste 3200
Charlotte, NC 28204
Phone (704) 355-5375

4525 Cameron Valley Pkwy
Ste 250
Charlotte, NC 28211

319 Penny Ln
Concord, NC 28025
Phone (704) 262-1911

2680 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 446-3222

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

6030 W Highway 74
Ste A
Indian Trail, NC 28079
Phone (704) 246-2777

447 McAlister Rd
Ste 3400
Lincolnton, NC 28092

1550 Faulk St
Ste 1200
Monroe, NC 28112

2301 US Highway 74 W
Ste 1500
Wadesboro, NC 28170
Phone (704) 994-4900

2700 S Providence Rd
Ste 2100
Waxhaw, NC 28173

1656 Riverchase Blvd
Ste 3500
Rock Hill, SC 29732
Phone (803) 324-7606

Networks

  • Freedom Health HMO Network
    Plans: 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 Maximo (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)…

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

Primary practice location

888 Church St N
Concord, NC 28025-4350

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7902372MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2009.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902372",
            "state": "NC"
        }
    ],
    "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.