MECKLENBURG MEDICAL GROUP
NPI 1366768152
Durable Medical Equipment & Medical Supplies in Charlotte, NC

Q: What is Mecklenburg Medical Group's NPI number?

The NPI number for Mecklenburg Medical Group is 1366768152. It was assigned to this organization in the NPPES registry on April 19, 2010.

Q: What is Mecklenburg Medical Group's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 19, 2010

1025 MOREHEAD MEDICAL DRIVE, SUITE 200, CHARLOTTE, NC 28204(704) 302-8000(704) 302-8001 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mecklenburg Medical Group NPPES

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

MECKLENBURG MEDICAL GROUP (NPI 1366768152) is a healthcare organization registered as a durable medical equipment & medical supplies in Charlotte, North Carolina and active in the NPI registry since April 2010. The organization lists Daniel L Wiens, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1366768152

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMECKLENBURG MEDICAL GROUP

Location Address1025 MOREHEAD MEDICAL DRIVE, SUITE 200Charlotte, NC 28204-2965

Mailing AddressPo Box 601643Charlotte, NC 28260-1643 · (704) 302-8000 · Fax (704) 302-8001

Phone(704) 302-8000

Fax(704) 302-8001

Organization SubpartNo

Authorized OfficialDaniel L WiensSenior Vice President · (704) 355-0648

Enumeration DateApril 19, 2010

Last NPPES UpdateJune 20, 2013

✔ NPI 1366768152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

1025 MOREHEAD MEDICAL DRIVE, Charlotte, NC 28204

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Other Identifiers 5

Other7705294NC · Medicaid Dme

Other5165580006NC · Medicare Dme

Medicare PIN2308340NC

MedicaidE08621SC

Medicaid5903117NC

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

Other Providers at the Same Location NPPES 3

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

KELLY LYNN VANDERHAVE MD

Orthopaedic Surgery (Sports Medicine)

1025 MOREHEAD MEDICAL DRIVE, SUITE 300
CHARLOTTE, NC 28204

Mecklenburg County (704) 355-5982

MECKLENBURG MEDICAL GROUP

Internal Medicine

1025 MOREHEAD MEDICAL DRIVE, SUITE 200
CHARLOTTE, NC 28204

Mecklenburg County (704) 302-8000

EVA BARBARA DEERENBERG MD

Surgery

1025 MOREHEAD MEDICAL DRIVE, SUITE 300
CHARLOTTE, NC 28204

Mecklenburg County (704) 446-9253

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 1366768152. It was assigned to this organization in the NPPES registry on April 19, 2010.

Where is Mecklenburg Medical Group located?

Mecklenburg Medical Group is located at 1025 Morehead Medical Drive Suite 200, Charlotte, NC 28204. The listed phone number is (704) 302-8000.

What is Mecklenburg Medical Group's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mecklenburg Medical Group was last updated on June 20, 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.