EDISON SQUARE FAMILY MEDICINE
NPI 1265764443
Family Medicine in Concord, NC

Active since February 12, 2010
10030 EDISON SQUARE DR NW, SUITE 100, CONCORD, NC 28027(704) 403-7830(704) 403-7840 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edison Square Family Medicine NPPES

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

EDISON SQUARE FAMILY MEDICINE (NPI 1265764443) is a healthcare organization registered as a family medicine in Concord, North Carolina and active in the NPI registry since February 2010. The organization lists Frieda M Lowder, Sr. Vp, as its authorized official.

NPPES Registry Identity

NPI1265764443
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCMC-NORTHEAST, INC.
Location Address10030 EDISON SQUARE DR NW, SUITE 100Concord, NC 28027-8252
Mailing Address10030 Edison Square Dr Nw, Suite 100Concord, NC 28027-8252 · (704) 403-7830 · Fax (704) 403-7840
Fax(704) 403-7840
Organization SubpartYes
Authorized OfficialFrieda M LowderSr. Vp · (704) 403-4146
Enumeration DateFebruary 12, 2010
Last NPPES UpdateSeptember 9, 2010
NPI 1265764443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
10030 EDISON SQUARE DR NW, Concord, NC 28027

Other Names 1

Doing Business AsEdison Square Family Medicine

Other Identifiers 3

OtherDF8926NC · Railroad Medicare Ptan
Other232009NC · Medicare Ptan, Group
Medicaid5914718NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

Chiropractor
10030 EDISON SQUARE DR NW, 203
CONCORD, NC 28027
Physician Assistant
10030 EDISON SQUARE DR NW, STE 100
CONCORD, NC 28027
Internal Medicine (Gastroenterology)
10030 EDISON SQUARE DR NW, SUITE 204
CONCORD, NC 28027
Speech-Language Pathologist
10030 EDISON SQUARE DR NW
CONCORD, NC 28027
Family Medicine
10030 EDISON SQUARE DR NW, STE 100
CONCORD, NC 28027
Family Medicine
10030 EDISON SQUARE DR NW, STE 100
CONCORD, NC 28027
Obstetrics & Gynecology
10030 EDISON SQUARE DR NW, STE 100A
CONCORD, NC 28027
Specialist/Technologist
10030 EDISON SQUARE DR NW
CONCORD, NC 28027

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 Cmc-Northeast, Inc.'s NPI number?

The NPI number for Cmc-Northeast, Inc. is 1265764443. It was assigned to this organization in the NPPES registry on February 12, 2010. The provider is doing business as Edison Square Family Medicine.

Where is Cmc-Northeast, Inc. located?

Cmc-Northeast, Inc. is located at 10030 Edison Square Dr NW Suite 100, Concord, NC 28027. The listed phone number is (704) 403-7830.

What is Cmc-Northeast, 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 Cmc-Northeast, Inc. was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.