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MECKLENBURG MEDICAL GROUP NPI 1457677247


NPI Information

NPI: 1457677247
Provider Name: MECKLENBURG MEDICAL GROUP
Classification: Internal Medicine - 207RB0002X
Entity Type: Organization

Specialization: Obesity Medicine

Address:
1900 BRUNSWICK AVE
CHARLOTTE, NC
ZIP 28207
Phone: (704) 358-4400
Get Directions

MECKLENBURG MEDICAL GROUP is an obesity medicine internal medicine in Charlotte, NC. The provider is an internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. MECKLENBURG MEDICAL GROUP NPI is 1457677247. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 BRUNSWICK AVE
CHARLOTTE, NC
ZIP 28207-822
Phone: (704) 358-4400
Fax: (704) 338-6577

The provider's authorized official is Thomas Ford Laymon .
The authorized official title is Senior Vice President and has the following contact phone number (704) 446-8250.

The enumeration date for this NPI number is 4/19/2010 and was last updated on 9/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RG0100XInternal MedicineGastroenterologyNo
6207RG0300XInternal MedicineGeriatric MedicineNo
7207RH0003XInternal MedicineHematology & OncologyNo
8207RI0200XInternal MedicineInfectious DiseaseNo
9207RP1001XInternal MedicinePulmonary DiseaseNo
10207RR0500XInternal MedicineRheumatologyNo
11207RX0202XInternal MedicineMedical OncologyNo
12207RB0002XInternal MedicineObesity MedicineYes
13207RS0012XInternal MedicineSleep MedicineNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
189013PPMEDICAIDNORTH CAROLINA
2E08621MEDICAIDSOUTH CAROLINA
32308340MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.