PACS PC NPI 1790179505

NPI Information

  • NPI: 1790179505
  • Provider Name: PACS, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 10021 PARK CEDAR DR STE 200
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (704) 438-9383

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NPI Details

PACS, PC is a family medicine in Charlotte, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PACS, PC NPI is 1790179505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10021 PARK CEDAR DR STE 200
CHARLOTTE, NC
ZIP 28210-701
Phone: (704) 438-9383
Fax: (704) 438-9383

The provider's authorized official is Holly Layman Bernardini .
The authorized official title is Owner / Medical Director/physician and has the following contact phone number (704) 438-9383.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 11/1/2024.

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
1207Q00000XFamily 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
11790179505MEDICAIDNORTH 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: 11/21/2025

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