Organization Active NPI

Huntersville Family Practice, PC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1962655787
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
140765 Issued in NC
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

8750 Arbor Creek Dr
Charlotte, NC 28269
Phone (704) 962-4304

10616 Metromont Pkwy
Ste 104
Charlotte, NC 28269
Phone (704) 921-6659

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.

Verify at the official NPI Registry.