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SUGAR CREEK MEDICAL CENTER, PLLC
NPI 1194346924
Clinic/Center in Charlotte, NC

Active since May 04, 2020
5104 REAGAN DR STE 3, CHARLOTTE, NC 28206(715) 661-1652 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sugar Creek Medical Center, Pllc NPPES

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

SUGAR CREEK MEDICAL CENTER, PLLC (NPI 1194346924) is a healthcare organization registered as a clinic/center in Charlotte, North Carolina and active in the NPI registry since May 2020. The organization lists Beau Wakefield, Member, as its authorized official.

NPPES Registry Identity

NPI1194346924
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSUGAR CREEK MEDICAL CENTER, PLLC
Location Address5104 REAGAN DR STE 3Charlotte, NC 28206-1392
Mailing Address5104 Reagan Dr Ste 3Charlotte, NC 28206-1392 · (715) 661-1652
Phone(715) 661-1652
Organization SubpartNo
Authorized OfficialBeau WakefieldMember · (715) 661-1652
Enumeration DateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1194346924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5104 REAGAN DR STE 3, Charlotte, NC 28206
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Other Identifiers 1

Other281541NC · Npi

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.

FREDRICK HUFFIN NP-C
Nurse Practitioner (Family)
5104 REAGAN DR STE 3
CHARLOTTE, NC 28206
Mecklenburg County (704) 412-1931
MDFAMILY MEDICAL GROUP
Family Medicine
5104 REAGAN DR STE 3
CHARLOTTE, NC 28206
Mecklenburg County (704) 598-2555

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 Sugar Creek Medical Center, PLLC's NPI number?

The NPI number for Sugar Creek Medical Center, PLLC is 1194346924. It was assigned to this organization in the NPPES registry on May 4, 2020.

Where is Sugar Creek Medical Center, PLLC located?

Sugar Creek Medical Center, PLLC is located at 5104 Reagan Dr Ste 3, Charlotte, NC 28206. The listed phone number is (715) 661-1652.

What is Sugar Creek Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Sugar Creek Medical Center, PLLC was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.