NPIMap

Organization Active NPI

National Medical Clinic of Lincolnton, PA

Doing business as Scala Medical Clinic

  • Internal Medicine Physician
  • Lincolnton, NC
National Provider Identifier
1982885901
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NATIONAL MEDICAL CLINIC OF LINCOLNTON, PA
Doing business as
Scala Medical Clinic
Practice address
105 Dave Warlick Dr
Lincolnton, NC 28092-4411
Phone
(704) 748-9949
Fax
(704) 748-2345
NPI assigned
Nov 19, 2007
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Ifeanyichukwu Obiora Okafor, MDNPI 1972692366
Title
President
Phone
(704) 748-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X 200200150 NC

Addresses

Primary practice location

105 Dave Warlick Dr
Lincolnton, NC 28092-4411

Mailing address

105 Dave Warlick Dr
Lincolnton, NC 28092-4411
Phone (704) 748-9949

Other identifiers 1

IdentifierTypeStateIssuer
89132W6MedicaidNC

Other names 1

  • SCALA MEDICAL CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000697 NC Part B Supplier - Clinic/Group Practice 8022282615 Receives reassigned benefits from 3 practitioners
Practice locations: Lincolnton, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1982885901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DAVE WARLICK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924411",
            "telephone_number": "704-748-9949",
            "fax_number": "704-748-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DAVE WARLICK DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924411",
            "telephone_number": "704-748-9949",
            "fax_number": "704-748-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL CLINIC OF LINCOLNTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2024-03-05",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "IFEANYICHUKWU",
        "authorized_official_middle_name": "OBIORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-748-9949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "200200150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132W6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCALA MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCALA MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.