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PRIME HEALTH MEDICAL CLINIC, PA
NPI 1063781094
Internal Medicine - Nephrology in Charlotte, NC

Active since December 20, 2011
1400 MEDFORD DR, CHARLOTTE, NC 28205(704) 940-5588(704) 940-5589 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2021, Oct 13, 2016 (2 updates tracked since 2016).

About Prime Health Medical Clinic, Pa NPPES

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

PRIME HEALTH MEDICAL CLINIC, PA (NPI 1063781094) is a healthcare organization registered as a nephrology in Charlotte, North Carolina and active in the NPI registry since December 2011. The organization lists Sylvester I Ogbata, Owner, as its authorized official.

NPPES Registry Identity

NPI1063781094
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePRIME HEALTH MEDICAL CLINIC, PA
Location Address1400 MEDFORD DRCharlotte, NC 28205-5624
Mailing Address7619 Berryfield CtWaxhaw, NC 28173-9817 · (203) 545-9119
Phone(704) 940-5588
Fax(704) 940-5589
Organization SubpartNo
Authorized OfficialSylvester I OgbataOwner · (203) 545-9119
Enumeration DateDecember 20, 2011
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1063781094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
1400 MEDFORD DR, Charlotte, NC 28205
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SYLVESTER IZUCHUKWU OGBATA M.D.
Internal Medicine (Nephrology)
1400 MEDFORD DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 940-5588
CAROLINAS NEPHROLOGY AND HYPERTENSION ASSOCIATES, PA
Internal Medicine (Nephrology)
1400 MEDFORD DR
CHARLOTTE, NC 28205
Mecklenburg County (704) 940-6644

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 Prime Health Medical Clinic, PA's NPI number?

The NPI number for Prime Health Medical Clinic, PA is 1063781094. It was assigned to this organization in the NPPES registry on December 20, 2011.

Where is Prime Health Medical Clinic, PA located?

Prime Health Medical Clinic, PA is located at 1400 Medford Dr, Charlotte, NC 28205. The listed phone number is (704) 940-5588.

What is Prime Health Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

What insurance does Prime Health Medical Clinic, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Prime Health Medical Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Health Medical Clinic, PA was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.