MECKLENBURG MEDICAL GROUP
NPI 1255364535
Internal Medicine in Charlotte, NC
NPI Status: Active since July 09, 2006
Contact Information
7903 PROVIDENCE RD
SUITE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 367-8610
Fax: (704) 367-6798
- Organization
- Internal Medicine
- Accepts Insurance
About MECKLENBURG MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Mecklenburg Medical Group, an internist established in Charlotte, North Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255364535 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Mecklenburg Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Daniel L Wiens (Senior Vice President)
- NPI
- 1255364535
- Provider Name
- MECKLENBURG MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 7903 PROVIDENCE RD SUITE 100 CHARLOTTE, NC 28277
- Location Phone
- (704) 367-8610
- Location Fax
- (704) 367-6798
- Mailing Address
- PO BOX 601643 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 367-8610
- Mailing Fax
- (704) 367-6798
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-09-2006
- Last Update Date
- 03-06-2013
- Code Navigator
An internist like Mecklenburg Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89013CY | MEDICAID (05) | NC | |
| 5165580003 | MEDICARE NSC (07) | NC | |
| 5903117 | MEDICAID (05) | NC | |
| 89013CO | MEDICAID (05) | NC | |
| 5165580002 | MEDICARE NSC (07) | NC | |
| 5902311 | MEDICAID (05) | NC | |
| 89013CW | MEDICAID (05) | NC | |
| E08621 | MEDICAID (05) | SC | |
| 5165580001 | MEDICARE NSC (07) | NC | |
| 5165580004 | MEDICARE NSC (07) | NC | |
| 89013AF | MEDICAID (05) | NC | |
| 89015NA | MEDICAID (05) | NC | |
| 5901377 | MEDICAID (05) | NC | |
| 5905557 | MEDICAID (05) | NC | |
| 89013CX | MEDICAID (05) | NC | |
| 89013PP | MEDICAID (05) | NC | |
| 2308340 | MEDICARE ID-TYPE UNSPECIFIED (04) | GROUP NUMBER |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 6 | 4 | 5 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 6 | 8 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 6 + 8 + 5 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1255364535 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760445233 | DR. JONATHAN MARK COLLINS M.D. Individual | Family Medicine | 7903 PROVIDENCE RD SUITE 100 CHARLOTTE, NC 28277 (704) 316-4460 |
| 1922542281 | NOVANT MEDICAL GROUP, INC. Organization | Obstetrics & Gynecology | 7903 PROVIDENCE RD SUITE 100 CHARLOTTE, NC 28277 (704) 321-1077 |
| 1891234084 | NOVANT MEDICAL GROUP, INC. Organization | Obstetrics & Gynecology | 7903 PROVIDENCE RD SUITE 100 CHARLOTTE, NC 28277 (704) 316-2021 |
| 1578597555 | SENIOR HEALTH CONNECTION Organization | Family Medicine (Geriatric Medicine) | 7903 PROVIDENCE RD SUITE 100 CHARLOTTE, NC 28277 (704) 543-4360 |
| 1801936356 | EAR RX, INC. Organization | Hearing Instrument Specialist | 7903 PROVIDENCE RD STE 160 CHARLOTTE, NC 28277 (704) 540-7622 |
| 1790142735 | JAIME PIMENTAL FNP Individual | Nurse Practitioner | 7903 PROVIDENCE RD SUITE 100 CHARLOTTE, NC 28277 (704) 316-4460 |
| 1346519451 | NOVANT HEALTH MEDICAL GROUP, LLC Organization | Internal Medicine (Sports Medicine) | 7903 PROVIDENCE RD SUITE 100 CHARLOTTE, NC 28277 (704) 316-4460 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255364535, enumerated in the NPI registry as an "organization" on July 09, 2006
The provider is located at 7903 Providence Rd Suite 100 Charlotte, Nc 28277 and the phone number is (704) 367-8610
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Aetna CVS Health, BlueCross BlueShield of South. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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