MECKLENBURG MEDICAL GROUP (MMG)
NPI 1386960342
Dermatology in Matthews, NC
NPI Status: Active since April 15, 2010
Contact Information
332 N TRADE ST
STE 2000
MATTHEWS, NC
ZIP 28105
Phone: (704) 302-8500
- Organization
- Dermatology
- Accepts Insurance
About MECKLENBURG MEDICAL GROUP (MMG)
This page provides the complete NPI Profile along with additional information for Mecklenburg Medical Group (mmg), a provider established in Matthews, North Carolina operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1386960342 assigned on April 2010. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mecklenburg Medical Group (mmg) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mecklenburg Medical Group (mmg). The authorized official of this NPI record is Scott Rissmiller (Enterprise Evp)
- NPI
- 1386960342
- Provider Legal Name
- MECKLENBURG MEDICAL GROUP
- Other Organization Name
- MECKLENBURG MEDICAL GROUP (MMG)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 332 N TRADE ST STE 2000 MATTHEWS, NC 28105
- Location Phone
- (704) 302-8500
- Mailing Address
- PO BOX 19305 CHARLOTTE, NC 28219
- Mailing Phone
- (704) 631-0002
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-15-2010
- Last Update Date
- 03-09-2023
- Code Navigator
A dermatologist like Mecklenburg Medical Group (mmg) is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RB0002X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 11 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 12 | 207RX0202X | 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
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- 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
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MECKLENBURG MEDICAL GROUP (MMG)
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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 | 3 | 8 | 6 | 9 | 6 | 0 | 3 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 18 | 6 | 0 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 8 + 6 + 0 + 3 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1386960342 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 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700801792 | MARISA DEATON Individual | Internal Medicine | 332 N TRADE ST SUITE 2000 MATTHEWS, NC 28105 (704) 302-8500 |
| 1083844666 | RACHAEL COLLINS Individual | Physician Assistant | 332 N TRADE ST SUITE 1100 MATTHEWS, NC 28105 (704) 512-6850 |
| 1700079225 | CAROLINAS PHYSICIANS NETWORK INC Organization | Family Medicine | 332 N TRADE ST STE 1100 MATTHEWS, NC 28105 (704) 512-6850 |
| 1710914171 | CHARLOTTE PEDIATRIC CLINIC Organization | Pediatrics | 332 N TRADE ST STE 1500 MATTHEWS, NC 28105 (704) 545-8656 |
| 1144234923 | COURTNEY LYNN ELLIS PA Individual | Physician Assistant | 332 N TRADE ST STE 1500 MATTHEWS, NC 28105 (704) 512-6820 |
| 1225425317 | JULIO E DE PENA FERNANDEZ MD Individual | Internal Medicine | 332 N TRADE ST STE 2000 MATTHEWS, NC 28105 (704) 302-8500 |
| 1285659938 | GEORGE ANTHONY MANOUSOS MD Individual | Pediatrics | 332 N TRADE ST STE 1500 MATTHEWS, NC 28105 (704) 512-6820 |
| 1295172328 | ODILE KAMANZI MD Individual | Internal Medicine | 332 N TRADE ST STE 2000 MATTHEWS, NC 28105 (704) 302-8500 |
| 1306176433 | WIN JIR LIN PA Individual | Physician Assistant (Medical) | 332 N TRADE ST STE 1100 MATTHEWS, NC 28105 (704) 512-6850 |
| 1548231319 | KERRY J. BARZOLA MD Individual | Internal Medicine | 332 N TRADE ST STE 2000 MATTHEWS, NC 28105 (704) 302-8500 |
| 1679049977 | JENNA BROOKE PASQUITH FNP Individual | Nurse Practitioner (Family) | 332 N TRADE ST STE 2000 MATTHEWS, NC 28105 (704) 302-8500 |
| 1679667125 | SEJAL SHAH DESAI PA Individual | Physician Assistant | 332 N TRADE ST STE 1100 MATTHEWS, NC 28105 (704) 512-6850 |
| 1699877340 | MICHELLE SIMMONS HOPKINS PA Individual | Physician Assistant | 332 N TRADE ST STE 1100 MATTHEWS, NC 28105 (704) 512-6850 |
| 1750736179 | BRENDAN SCHANEL KLITSCH PA Individual | Physician Assistant | 332 N TRADE ST STE 1100 MATTHEWS, NC 28105 (704) 512-6850 |
| 1760479661 | BRENDA LOU CLARK FNP Individual | Nurse Practitioner (Family) | 332 N TRADE ST STE 1100 MATTHEWS, NC 28105 (704) 512-6850 |
| 1891228805 | CLAYTON BRETT TEMPLETON MD Individual | Pediatrics | 332 N TRADE ST STE 1500 MATTHEWS, NC 28105 (704) 512-6820 |
| 1376515502 | RACHEL WIESE JONES MD Individual | Pediatrics | 332 N TRADE ST STE 1500 MATTHEWS, NC 28105 (704) 512-6820 |
| 1407005119 | CHANDA NICOLE GUPTILL NP Individual | Nurse Practitioner | 332 N TRADE ST STE 1500 MATTHEWS, NC 28105 (704) 512-6820 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386960342, enumerated in the NPI registry as an "organization" on April 15, 2010
The provider is located at 332 N Trade St Ste 2000 Matthews, Nc 28105 and the phone number is (704) 302-8500
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. 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 15, 2010. 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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