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MERCY MEDICAL CLINIC PA
NPI 1316627771
Internal Medicine in Charlotte, NC

Active since July 20, 2023
9510 UNIVERSITY CITY BLVD STE 102, CHARLOTTE, NC 28213(704) 833-8037(704) 691-0415 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2026, Mar 13, 2026, Jan 28, 2026 and 2 more (5 updates tracked since 2023).

About Mercy Medical Clinic Pa NPPES

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

MERCY MEDICAL CLINIC PA (NPI 1316627771) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since July 2023. The organization lists Olusola Joseph, Provider, as its authorized official.

NPPES Registry Identity

NPI1316627771
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMERCY MEDICAL CLINIC PA
Location Address9510 UNIVERSITY CITY BLVD STE 102Charlotte, NC 28213-3997
Mailing Address9510 University City Blvd Ste 102Charlotte, NC 28213-3997 · (704) 833-8037 · Fax (704) 691-0415
Phone(704) 833-8037
Fax(704) 691-0415
Organization SubpartNo
Authorized OfficialOlusola JosephProvider · (704) 833-8037
Enumeration DateJuly 20, 2023
Last NPPES UpdateAugust 28, 20265 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1316627771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
9510 UNIVERSITY CITY BLVD STE 102, Charlotte, NC 28213
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Other Names 1

Doing Business AsMercy Medical Clinic Pa

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mercy Medical Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olusola Joseph
Nurse Practitioner
NPI 1922470723
9510 UNIVERSITY CITY BLVD STE 102
Charlotte, NC 28213
(704) 833-8037
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mercy Medical Clinic PA's NPI number?

The NPI number for Mercy Medical Clinic PA is 1316627771. It was assigned to this organization in the NPPES registry on July 20, 2023.

Where is Mercy Medical Clinic PA located?

Mercy Medical Clinic PA is located at 9510 University City Blvd Ste 102, Charlotte, NC 28213. The listed phone number is (704) 833-8037.

What is Mercy Medical Clinic PA's specialty?

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

Is Mercy Medical Clinic PA enrolled in Medicare?

Yes. Mercy Medical Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Medical Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mercy Medical Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Medical Clinic PA accept?

Health plans from Blue Cross and Blue Shield of NC list Mercy 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 Mercy Medical Clinic PA was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.