PRODIGY DIABETES CARE, LLC (NPI# 1104321793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104321793 |
| Entity Type | Organization |
| Organization Name | PRODIGY DIABETES CARE, LLC |
| Practice Address |
2701 Hutchison Mcdonald Rd Ste A Charlotte NC 28269-4276 |
| Practice Telephone | 7042856437 |
| Mailing Telephone | 7042856437 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | GREG MILLER (COO & VP OF FINANCE) |
| Authorized Official Telephone | 7042856437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2701 HUTCHISON MCDONALD RD STE A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258244 | Royal Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3709 Eastway Dr Ste 101, Charlotte, NC 28205-6266 | 2020-06-04 |
| 1427681667 | Prism Medical Products, L.L.C. | Durable Medical Equipment & Medical Supplies | 9635 Southern Pine Blvd Ste 100, Charlotte, NC 28273-5546 | 2020-02-17 |
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1710529458 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Hawthorne Ln Ste T1578, Charlotte, NC 28204-2515 | 2019-10-15 |
| 1861040750 | Helen C Ananti | Durable Medical Equipment & Medical Supplies | 7401 The Plz Ste C, Charlotte, NC 28215-1925 | 2019-09-03 |
| 1407326416 | Affordable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7200 Albemarle Rd Ste E, Charlotte, NC 28227-8110 | 2018-12-03 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1821574955 | Jeff Gauer | Durable Medical Equipment & Medical Supplies | 9517 Monroe Rd Ste H, Charlotte, NC 28270-1489 | 2018-07-11 |
| 1871089094 | Unyq Design Inc | Durable Medical Equipment & Medical Supplies | 1776 Statesville Ave # 10117, Charlotte, NC 28206-3013 | 2018-07-11 |
| 1225524671 | Jevetta R Wade | Durable Medical Equipment & Medical Supplies | 8828 Balmoral Park Dr, Charlotte, NC 28277-1338 | 2018-07-09 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.