THE CAROLINA MEN'S CLINIC


Address: 122 Gateway Blvd Ste D, Mooresville, NC 28117-5544
Phone: 7049814490

THE CAROLINA MEN'S CLINIC (NPI# 1548666878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548666878
Entity Type Organization
Organization Name THE CAROLINA MEN'S CLINIC
Practice Address 122 Gateway Blvd Ste D
Mooresville
NC 28117-5544
Practice Telephone 7049814490
Enumeration Date 2014-11-13
Last Update Date 2014-11-13
Authorized Official Name MR. MICHAEL BEAUCHAINE (PHYSICIAN ASSISTANT)
Authorized Official Telephone 7049814490
Authorized Official Credential PA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
0010-05337 NC Ambulatory Health Care Facilities

Office Location

Street Address 122 GATEWAY BLVD STE D
City MOORESVILLE
State NC
Zip Code 28117-5544

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1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174738520 Lake Norman Integrative Psychiatry Clinic/Center 116 S Main St Ste 301, Mooresville, NC 28115-2373 2007-05-11
1710274360 Harbor Internal Medicine Pllc Clinic/Center 478 Williamson Rd, Suite B, Mooresville, NC 28117-8192 2011-07-04
1912969296 Edgewater Women's Health Centre Clinic/Center 548 Williamson Rd, Suite 2, Mooresville, NC 28117-9111 2006-04-04

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1740893734 Blue Telepsych Urgent Care Clinic/Center 8406 Fiddlestick Way, Wilmington, NC 28412-3394 2020-08-28
1437771193 Asheville Dermatology Professionals, PC Clinic/Center 900 Hendersonville Rd Ste 107, Asheville, NC 28803-1763 2020-05-15
1689210197 Neogenix, PC Clinic/Center 16147 Lancaster Hwy Ste 140, Charlotte, NC 28277-4782 2019-11-19
1255898094 Old Well Medicine, Pllc Clinic/Center 1505 Sw Cary Pkwy Ste 302, Cary, NC 27511-6219 2019-02-28
1396252680 Envolve Optical Inc Clinic/Center 112 Zebulon Ct, Rocky Mount, NC 27804-2420 2018-01-08
1255877841 Ray Mercado D.o.p.c Clinic/Center 1126 N Church St Ste 202, Greensboro, NC 27401-1035 2017-01-06
1295146389 Monadnock Mind and Body Clinic/Center 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 2014-05-12
1093125627 American Respiratory Labs In Home LLC Clinic/Center 6075 Thristlebrook, Hickory, NC 28602-8264 2014-05-05
1457780553 Carolina Center for Women Clinic/Center 421 N Wendover Rd, Charlotte, NC 28211-1064 2013-11-08
1427496173 Carolinas Weight Management Clinic/Center 2608 E. 7th St., Charlotte, NC 28204 2013-06-04
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Competitor

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City MOORESVILLE
Zip Code 28117

Improve Information

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Dataset Information

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.

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