Family Medicine Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

201000567 Issued in NC

Legal business name

FAMILY MEDICINE CARE, PLLC

Practice address

18509 Statesville Rd Ste B1
Cornelius, NC 28031-5703

Phone

(704) 359-7426

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mario Augusto Hernandez, MD

Title

MD

Phone

(704) 359-7426

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1982918314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18509 STATESVILLE RD STE B1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315703",
            "telephone_number": "704-359-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18509 STATESVILLE RD STE B1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315703",
            "telephone_number": "704-359-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "704-359-7426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "201000567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100062480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Tarry Fadel, LMFTA
• Jackie Rex Faircloth, MD
• Faith Counseling Center, Inc.
• Shelley F Falcone, CRNA
• Family First Physical Therapy L.L.C.
• Lara Fleischaker Fass, B.A., LMBT, LE
• Kyle Joseph Ferlic, LPCA
• Nichole Danielle Finger, LCSW
• Laura Lynn Finney, MA, LPCA, NCC
• Laura Mary Fisher, OTR

• Primary Care Clinic/Center in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.