CMG- Family Medicine of Cleveland County LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CMG- FAMILY MEDICINE OF CLEVELAND COUNTY LLC

Practice address

807 Schenck St # 3
Shelby, NC 28150-3933

Phone

(704) 480-0222

Fax

(704) 480-6007

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Valinda L Rutledge

Title

President,Ceo

Phone

(704) 834-2133

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1972217982

  Member Of

  NPD member

Practitioners 2

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

• Brad Vance Gardner, FNP-C

  • Family Nurse Practitioner
  • Belmont, NC
  • NPI 1528054152
  NPD (past)
• Lynda Madeleine Lachance, MD

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1811954258

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1922158203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544725",
            "telephone_number": "704-671-5311",
            "fax_number": "704-671-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SCHENCK ST # 3",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503933",
            "telephone_number": "704-480-0222",
            "fax_number": "704-480-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMG- FAMILY MEDICINE OF CLEVELAND COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "VALINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT,CEO",
        "authorized_official_telephone_number": "704-834-2133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Scott Clift
• Bobby Glenn Clifton II, MD
• Nancy Ellen Cline, MD
• Kenneth Kyle Cloninger, MD
• CMC-Northeast, Inc.
• CNC / Access, Inc.
• CNC / Access, Inc.
• CNC Access Inc
• CNC Access Inc
• CNC Access Inc.

• All providers in Shelby, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.