NPIMap

Organization Active NPI

Mecklenburg Neurological Associates, PA

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1952469710
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MECKLENBURG NEUROLOGICAL ASSOCIATES, PA
Practice address
1900 Scott Ave
Charlotte, NC 28203-6046
Phone
(704) 334-7311
Fax
(704) 335-9790
NPI assigned
Dec 5, 2006
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Ms. Sherry H Buttery
Title
Admin. Asst
Phone
(704) 334-7311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1900 Scott Ave
Charlotte, NC 28203-6046

Mailing address

1900 Scott Ave
Charlotte, NC 28203-6046
Phone (704) 334-7311

National Provider Directory

National Provider Directory

Locations

1300 Baxter St
Ste 114
Charlotte, NC 28204
Phone (704) 335-3400

1040 Vinehaven Dr NE
Concord, NC 28025
Phone 70433473111011

511 Lauchwood Dr
Laurinburg, NC 28352
Phone (704) 335-9794

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1952469710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SCOTT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036046",
            "telephone_number": "704-334-7311",
            "fax_number": "704-335-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCOTT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036046",
            "telephone_number": "704-334-7311",
            "fax_number": "704-335-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG NEUROLOGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "BUTTERY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMIN. ASST",
        "authorized_official_telephone_number": "704-334-7311",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.