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EMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC
NPI 1053953125
Family Medicine in Charlotte, NC

Active since October 10, 2019
5104 REAGAN DRIVE, SUITE 4, CHARLOTTE, NC 28206(919) 961-2204 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emergent Life Integrative Medicine Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC (NPI 1053953125) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since October 2019. The organization lists Barany Jeganatth, Founder, General Manager, as its authorized official.

NPPES Registry Identity

NPI1053953125
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEMERGENT LIFE INTEGRATIVE MEDICINE CENTER, INC
Location Address5104 REAGAN DRIVE, SUITE 4Charlotte, NC 28206-1392
Mailing Address5104 Reagan Drive, Suite 4Charlotte, NC 28206-1392 · (919) 961-2204
Phone(919) 961-2204
Organization SubpartNo
Authorized OfficialBarany JeganatthFounder, General Manager · (919) 961-2204
Enumeration DateOctober 10, 2019
✔ NPI 1053953125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
5104 REAGAN DRIVE, SUITE 4, Charlotte, NC 28206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emergent Life Integrative Medicine Center, Inc's NPI number?

The NPI number for Emergent Life Integrative Medicine Center, Inc is 1053953125. It was assigned to this organization in the NPPES registry on October 10, 2019.

Where is Emergent Life Integrative Medicine Center, Inc located?

Emergent Life Integrative Medicine Center, Inc is located at 5104 Reagan Drive, Suite 4, Charlotte, NC 28206. The listed phone number is (919) 961-2204.

What is Emergent Life Integrative Medicine Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Emergent Life Integrative Medicine Center, Inc was last updated on October 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.