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CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1689620957


NPI Information

NPI: 1689620957
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: KANNAPOLIS INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D0691451

Address:
201 DALE EARNHARDT BLVD
SUITE 200
KANNAPOLIS, NC
ZIP 28083
Phone: (704) 932-1155
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CAROLINAS MEDICAL CENTER-NORTHEAST is an internal medicine in Kannapolis, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1689620957. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kannapolis Internal Medicine.

The provider's business location address is:

201 DALE EARNHARDT BLVD
SUITE 200
KANNAPOLIS, NC
ZIP 28083-303
Phone: (704) 932-1155
Fax: (704) 932-3500

The provider's authorized official is Frieda M Lowder .
The authorized official title is Vp Physician Services and has the following contact phone number (704) 403-4146.

The CLIA number assigned to this NPI record is 34D0691451 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/29/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10116MOTHERNORTH CAROLINABCBS EFF PRIOR TO 7-1-07
2=========005OTHERNORTH CAROLINATRICARE EFFECTIVE 7/1/07
3890116MMEDICAIDNORTH CAROLINA
45906968MEDICAIDNORTH CAROLINA
5019F3OTHERNORTH CAROLINABCBS EFF 7-1-07
67231OTHERNORTH CAROLINAPARTNERS MEDICARE CHOICE
72325363MEDICARE PINNORTH CAROLINA
8355573OTHERNORTH CAROLINAMAMSI GROUP NO
9232009MEDICARE PINNORTH CAROLINA
10566000156011OTHERNORTH CAROLINATRICARE STANDARD, NON NWK
11CC2854OTHERNORTH CAROLINARAILROAD MEDICARE GROUP
12DF8926OTHERNORTH CAROLINARAILROAD MEDICARE PTAN

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: 5/5/2024

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.