CHARLOTTE MEDICAL CLINIC
NPI 1255575072
Internal Medicine in Charlotte, NC

NPI Status: Active since April 23, 2009

Contact Information

3025 SPRINGBANK LANE
SUITE 100
CHARLOTTE, NC
ZIP 28226
Phone: (704) 446-2620
Fax: (704) 542-2832

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  • Organization
  • Internal Medicine
  • Accepts Insurance

About CHARLOTTE MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Charlotte Medical Clinic, an internist established in Charlotte, North Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255575072 assigned on April 2009. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Daniel L Wiens (Senior Vice President)

NPI
1255575072
Provider Name
CHARLOTTE MEDICAL CLINIC
Entity Type
Organization
Location Address
3025 SPRINGBANK LANE SUITE 100 CHARLOTTE, NC 28226
Location Phone
(704) 446-2620
Location Fax
(704) 542-2832
Mailing Address
PO BOX 601643 CHARLOTTE, NC 28260
Mailing Phone
(704) 446-2620
Mailing Fax
(704) 542-2832
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2009
Last Update Date
07-22-2010
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An internist like Charlotte Medical Clinic 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.

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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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL L WIENS

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(704) 355-0648

Reviews for CHARLOTTE MEDICAL CLINIC

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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.
1255575072
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210510710014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 7 + 1 + 0 + 0 + 1 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1255575072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548290562 REZA MICHAEL MOZAYENI M.D.
Individual
Ophthalmology3025 SPRINGBANK LANE STE 200
CHARLOTTE, NC 28226
(704) 540-9595
1912932112 VANESSA M MILLS O.D.
Individual
Optometrist3025 SPRINGBANK LANE STE 200
CHARLOTTE, NC 28226
(704) 540-9595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255575072, enumerated in the NPI registry as an "organization" on April 23, 2009

The provider is located at 3025 Springbank Lane Suite 100 Charlotte, Nc 28226 and the phone number is (704) 446-2620

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Aetna CVS Health. 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 April 23, 2009. 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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