DEARK MEDICAL CENTER PLLC
NPI 1376046003
Internal Medicine in Charlotte, NC

Q: What is Deark Medical Center PLLC's NPI number?

The NPI number for Deark Medical Center PLLC is 1376046003. It was assigned to this organization in the NPPES registry on March 8, 2018.

Q: What is Deark Medical Center PLLC's specialty?

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

Active since March 08, 2018

3719 LATROBE DR STE 840, CHARLOTTE, NC 28211(913) 302-1470 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2019, Mar 8, 2018 (2 updates tracked since 2018).

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About Deark Medical Center Pllc NPPES

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

DEARK MEDICAL CENTER PLLC (NPI 1376046003) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since March 2018. The organization lists Efemwonkiekie William Iyamu, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1376046003

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDEARK MEDICAL CENTER PLLC

Location Address3719 LATROBE DR STE 840Charlotte, NC 28211-5121

Mailing Address3719 Latrobe Dr Ste 840Charlotte, NC 28211-5121 · (913) 302-1470

Phone(913) 302-1470

Organization SubpartNo

Authorized OfficialEfemwonkiekie William IyamuPresident/ceo · (913) 302-1470

Enumeration DateMarch 8, 2018

Last NPPES UpdateFebruary 6, 20192 updates tracked since enumeration

✔ NPI 1376046003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2016-01529

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 ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Migrant HealthTaxonomy 261QM1000X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

3719 LATROBE DR STE 840, Charlotte, NC 28211

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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)

Deark Medical Center Pllc 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 Deark Medical Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Efemwonkiekie Iyamu, MD

Hospitalist

NPI 1649409301

201 E GROVER ST
Shelby, NC 28150

(980) 487-3678

✔ PECOS✔ Accepts Medicare43 mi

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 Deark Medical Center PLLC's NPI number?

The NPI number for Deark Medical Center PLLC is 1376046003. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Deark Medical Center PLLC located?

Deark Medical Center PLLC is located at 3719 Latrobe Dr Ste 840, Charlotte, NC 28211. The listed phone number is (913) 302-1470.

What is Deark Medical Center PLLC's specialty?

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

Is Deark Medical Center PLLC enrolled in Medicare?

Yes. Deark Medical Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deark Medical Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Deark Medical Center PLLC. 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 Deark Medical Center PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Deark Medical Center PLLC 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 Deark Medical Center PLLC was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.