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MECKLENBURG MEDICAL GROUP
NPI 1255364535
Internal Medicine in Charlotte, NC

Active since July 09, 2006
7903 PROVIDENCE RD, SUITE 100, CHARLOTTE, NC 28277(704) 367-8610(704) 367-6798 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mecklenburg Medical Group NPPES

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

MECKLENBURG MEDICAL GROUP (NPI 1255364535) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization lists Daniel L Wiens, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1255364535
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMECKLENBURG MEDICAL GROUP
Location Address7903 PROVIDENCE RD, SUITE 100Charlotte, NC 28277-9720
Mailing AddressPo Box 601643Charlotte, NC 28260-1643 · (704) 367-8610 · Fax (704) 367-6798
Phone(704) 367-8610
Fax(704) 367-6798
Organization SubpartNo
Authorized OfficialDaniel L WiensSenior Vice President · (704) 355-0648
Enumeration DateJuly 9, 2006
Last NPPES UpdateMarch 6, 2013
✔ NPI 1255364535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
7903 PROVIDENCE RD, Charlotte, NC 28277
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Other Identifiers 17

Medicaid89013CYNC
Medicare NSC5165580003NC
Medicaid5903117NC
Medicaid89013CONC
Medicare NSC5165580002NC
Medicaid5902311NC
Medicaid89013CWNC
MedicaidE08621SC
Medicare NSC5165580001NC
Medicare NSC5165580004NC
Medicaid89013AFNC
Medicaid89015NANC
Medicaid5901377NC
Medicaid5905557NC
Medicaid89013CXNC
Medicaid89013PPNC
Medicare ID-Type Unspecified2308340Group Number

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 BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Other Providers at the Same Location NPPES 18

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

HOLLY PAGE
Behavior Technician
7903 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (516) 703-6400
SACHA JORDAN RBT
Behavior Technician
7903 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (855) 800-9361
BRENDA MOCTEZUMA MANZO BT
Behavior Technician
7903 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 440-3580
SAMUEL FEATHERS
Behavior Technician
7903 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (516) 703-6400
NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Sports Medicine)
7903 PROVIDENCE RD, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-4460
TRINITY TYNE LESSER
Behavior Technician
7903 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 440-3580
MS. GABRIELLA DAYSE GIBBONS I
Behavior Technician
7903 PROVIDENCE RD
CHARLOTTE, NC 28277
Mecklenburg County (704) 440-3580
SENIOR HEALTH CONNECTION
Family Medicine (Geriatric Medicine)
7903 PROVIDENCE RD, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 543-4360

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 Mecklenburg Medical Group's NPI number?

The NPI number for Mecklenburg Medical Group is 1255364535. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Mecklenburg Medical Group located?

Mecklenburg Medical Group is located at 7903 Providence Rd Suite 100, Charlotte, NC 28277. The listed phone number is (704) 367-8610.

What is Mecklenburg Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Mecklenburg Medical Group accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list Mecklenburg Medical Group 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 Mecklenburg Medical Group was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.