MDFAMILY MEDICAL GROUP, PA (NPI# 1407894058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407894058 |
| Entity Type | Organization |
| Organization Name | MDFAMILY MEDICAL GROUP, PA |
| Other Organization Name | MDFAMILY MEDICAL GROUP, INC. |
| Practice Address |
2801 Crisman St Charlotte NC 28208-3847 |
| Practice Telephone | 7043931817 |
| Practice Fax Number | 7043939281 |
| Mailing Telephone | 7043931817 |
| Mailing Fax Number | 7043939281 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-02-13 |
| Authorized Official Name | WILLIAM MURPHY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7045276322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MDFamily Medical Group, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801043187 | Mdfamily Medical Group, Pa | Family Medicine | 1415 Hwy 54 S, Suite 103 & 108, Durham, NC 27707-5577 | 2008-08-19 |
| 1023264777 | Mdfamily Medical Group, Pa | Family Medicine | 900 Sunset Ave, Rocky Mount, NC 27804-5521 | 2008-08-13 |
| 1124274873 | Mdfamily Medical Group, Pa | Family Medicine | 2801 Fieldstream Dr N, Wilson, NC 27896-6927 | 2008-08-13 |
| 1477615474 | Mdfamily Medical Group, Pa | Pediatrics | 230 E W T Harris Blvd, Suite C-13, Charlotte, NC 28262-3492 | 2006-12-15 |
| 1629130877 | Mdfamily Medical Group, Pa | Pediatrics | 416 Mccullough Dr, Suite 140, Charlotte, NC 28262-4385 | 2006-12-14 |
| 1134375884 | Mdfamily Medical Group, Pa | Family Medicine | 8 S Main St, Franklinton, NC 27525-1317 | 2008-08-13 |
| Street Address |
2801 CRISMAN ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427304211 | Lawson Support Services, LLC | Community/Behavioral Health | 2801 Crisman St, Charlotte, NC 28208-3847 | 2012-07-30 |
| 1336410455 | Lawson Support Services | Community/Behavioral Health | 2801 Crisman St, Charlotte, NC 28208-3847 | 2012-01-20 |
| 1508180803 | North Charlotte Family Medicine Pllc | Family Medicine | 2801 Crisman St, Charlotte, NC 28208-3847 | 2010-03-16 |
| 1386788685 | Eric Bernard Hun Ter | Counselor | 2801 Crisman St, Charlotte, NC 28208-3847 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1780189902 | Izadora Izidoro Diehl | General Practice | 5128 Silabert Ave, Charlotte, NC 28205-7863 | 2018-03-28 |
| 1851799696 | Hak Jin Kim | General Practice | 2095 Brunswick Place, Charlotte, MI 48813-9751 | 2014-12-10 |
| 1992055941 | Healthworks Med Group of North Carolina P C | General Practice | 2605 Water Ridge Pkwy, Suite 100, Charlotte, NC 28217-4565 | 2012-09-18 |
| 1811296494 | Rene Chike Anikwue | General Practice | 5109 Monroe Rd Ste E, Charlotte, NC 28205-7878 | 2011-03-21 |
| 1235433723 | David Joseph Pasek | General Practice | 9216 Forest Manor Ct, Charlotte, NC 28215-9705 | 2010-12-27 |
| 1053625574 | Chs North Carolina Medical, P.C. | General Practice | 7201 Hewitt Associates Dr, Ste 500, Charlotte, NC 28262-4001 | 2010-07-27 |
| 1255587903 | Stuart Lee Schnider | General Practice | 3220 Latrobe Dr, Charlotte, NC 28211-4845 | 2008-08-13 |
| 1235184813 | Health-pro Mental Health Services Pllc | General Practice | 6700 Fairview Rd, Suite 420, Charlotte, NC 28210-3324 | 2006-05-23 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MDFAMILY MEDICAL GROUP, PA.
| 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.