MECKLENBURG NEUROLOGY GROUP (NPI# 1417446691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417446691 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG NEUROLOGY GROUP |
| Practice Address |
70 Lake Concord Rd Ne Concord NC 28025-3057 |
| Practice Telephone | 9807778311 |
| Practice Fax Number | 9807778274 |
| Mailing Telephone | 9807778311 |
| Mailing Fax Number | 9807778274 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | MICHAEL M AMIRI (MD) |
| Authorized Official Telephone | 7048399268 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
9400705 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Baxter St Ste 114, Charlotte, NC 282043806 | 7043353400 | 9807778274 |
| 1707 Berwick Dr Ste A, Laurinburg, NC 283525543 | 7043359794 | 7043322329 |
| 8001 N Tryon St, Charlotte, NC 282623410 | 7043359794 | 7043322329 |
| 16507 Northcross Dr Ste B, Huntersville, NC 280785082 | 7043359794 | 7043322329 |
| Street Address |
70 LAKE CONCORD RD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346349859 | Cathy C Belk | Specialist | 70 Lake Concord Rd Ne, Suite 100, Concord, NC 28025-3057 | 2006-09-21 |
| 1891116976 | Carolina Totalcare, Pa | Chiropractor | 70 Lake Concord Rd Ne, Ste A, Concord, NC 28025-3057 | 2013-12-17 |
| 1396086138 | Omnihealth Medical Group | Specialist | 70 Lake Concord Rd Ne, Suite 100, Concord, NC 28025-3057 | 2013-03-04 |
| 1184992398 | Omnihealth Medical Group, Pa | Non-Pharmacy Dispensing Site | 70 Lake Concord Rd Ne, Suite 100, Concord, NC 28025-3057 | 2011-12-02 |
| 1891894382 | Geoffrey A Rose | Chiropractor | 70 Lake Concord Rd Ne, Suite 100, Concord, NC 28025-3057 | 2006-09-21 |
| 1326147836 | Jason R Rose | Chiropractor | 70 Lake Concord Rd Ne, Suite 100, Concord, NC 28025-3057 | 2006-09-21 |
| 1366541864 | Deanna K Rose | Chiropractor | 70 Lake Concord Rd Ne, Suite 100, Concord, NC 28025-3057 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356668834 | Carolinas Sleep Specialists Pa | Psychiatry & Neurology | 920 Copperfield Blvd Ne, Concord, NC 28025-2433 | 2010-04-23 |
| 1629320916 | Carolinas Physicians Network, Inc. | Psychiatry & Neurology | 5641 Poplar Tent Rd, Suite 204, Concord, NC 28027-7533 | 2012-10-10 |
| 1932138559 | Connie Tsang | Psychiatry & Neurology | 431 Copperfield Blvd Ne, Ste 100, Concord, NC 28025-2405 | 2006-07-03 |
| 1457315558 | Mark Letica | Psychiatry & Neurology | 431 Copperfield Blvd Ne, Ste 100, Concord, NC 28025-2405 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578890521 | Sound Sleep Interpretations LLC | Psychiatry & Neurology | 2103 Bay Ct, High Point, NC 27265-9323 | 2009-11-12 |
| 1154559847 | Dt Neuro Consulting Pllc | Psychiatry & Neurology | 21 Meadow Crossing Ct, Greensboro, NC 27410-9734 | 2009-07-01 |
| 1265622377 | Novant Medical Group, Inc. | Psychiatry & Neurology | 14215 Ballantyne Coporate Place, Suite 230, Charlotte, NC 28277-3874 | 2007-07-26 |
| 1952423717 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 760 Hartness Rd, Statesville, NC 28677-3425 | 2007-04-04 |
| 1972524361 | Jason A Peck | Psychiatry & Neurology | 8037 Corporate Center Drive, Suite 400, Charlotte, NC 28226-4550 | 2006-07-21 |
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 1386284511 | Greater Carolina Sleep Diagnostics Pllc | Psychiatry & Neurology | 4111 Capitol St Ste A, Durham, NC 27704-2153 | 2020-01-15 |
| 1215411723 | Novant Medical Group Inc | Psychiatry & Neurology | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2018-09-20 |
| 1497232318 | Novant Medical Group Inc | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2018-07-24 |
| 1225522246 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
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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.