Active NPI
Huntersville Family Practice, PC
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 140765
- Legal business name
- HUNTERSVILLE FAMILY PRACTICE, PC
- Practice address
- 10616 Metromont Pkwy
Suite 104
Charlotte, NC 28269-7656 - Phone
- (704) 921-6659
- Fax
- (866) 661-1105
- NPI assigned
- Oct 23, 2008
- Last updated
- Nov 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent Hillman, MD
- Title
- President
- Phone
- (704) 921-6659
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 140765 | NC | Primary |
Addresses
Primary practice location
10616 Metromont Pkwy
Suite 104
Charlotte, NC 28269-7656
Mailing address
10616 Metromont Pkwy
Suite 104
Charlotte, NC 28269-7656
Phone (704) 921-6659
National Provider Directory
National Provider DirectoryLocations
8750 Arbor Creek Dr
Charlotte, NC 28269
Phone (704) 962-4304
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1710988670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446595200000",
"number": "1962655787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10616 METROMONT PKWY",
"address_2": "SUITE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282697656",
"telephone_number": "704-921-6659",
"fax_number": "866-661-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10616 METROMONT PKWY",
"address_2": "SUITE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282697656",
"telephone_number": "704-921-6659",
"fax_number": "866-661-1105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTERSVILLE FAMILY PRACTICE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-23",
"last_updated": "2015-11-04",
"status": "A",
"authorized_official_last_name": "HILLMAN",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-921-6659",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "140765",
"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 Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.