PATINA MEDICAL GROUP, PC
NPI 1467147710
Clinic/Center - Primary Care in Charlotte, NC

Active since April 11, 2023
101 N TRYON ST STE 600, CHARLOTTE, NC 28246(855) 478-8208 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Patina Medical Group, Pc NPPES

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

PATINA MEDICAL GROUP, PC (NPI 1467147710) is a healthcare organization registered as a primary care in Charlotte, North Carolina and active in the NPI registry since April 2023. The organization lists Neil Patel, Chief Health Officer, as its authorized official.

NPPES Registry Identity

NPI1467147710
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePATINA MEDICAL GROUP, PC
Location Address101 N TRYON ST STE 600Charlotte, NC 28246-0100
Mailing Address150 Monument Rd Ste 500Bala Cynwyd, PA 19004-1701 · (855) 478-8208
Organization SubpartNo
Authorized OfficialNeil PatelChief Health Officer · (855) 478-8208
Enumeration DateApril 11, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1467147710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal MedicineTaxonomy 207R00000X
101 N TRYON ST STE 600, Charlotte, NC 28246

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patina Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Patina Medical Group, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1801294954
831 KINGS HWY STE 100
West Deptford, NJ 08096
(856) 853-8730
✔ PECOS✔ Accepts Medicare445 mi
Nurse Practitioner
NPI 1568554145
225 E CITY AVE
Bala Cynwyd, PA 19004
(215) 606-9400
✔ PECOS✔ Accepts Medicare451 mi
Nurse Practitioner
NPI 1760856736
150 MONUMENT RD STE 500
Bala Cynwyd, PA 19004
(855) 478-8208
✔ PECOS✔ Accepts Medicare452 mi
Internal Medicine
NPI 1114361839
150 MONUMENT RD STE 500
Bala Cynwyd, PA 19004
(855) 478-8208
✔ PECOS452 mi
Nurse Practitioner
NPI 1730793241
30600 TELEGRAPH RD STE 4000
Bingham Farms, MI 48025
(248) 593-0100
✔ PECOS519 mi
Nurse Practitioner
NPI 1518566090
16244 S MILITARY TRL STE 470
Delray Beach, FL 33484
(561) 865-5151
✔ PECOS✔ Accepts Medicare607 mi
Nurse Practitioner
NPI 1750856803
1400 COMPUTER DR
Westborough, MA 01581
(714) 943-1327
✔ PECOS✔ Accepts Medicare697 mi
Family Practice
NPI 1700085271
1070 IYANNOUGH RD STE I10
Hyannis, MA 02601
(508) 948-3400
✔ PECOS723 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 Patina Medical Group, PC's NPI number?

The NPI number for Patina Medical Group, PC is 1467147710. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Patina Medical Group, PC located?

Patina Medical Group, PC is located at 101 N Tryon St Ste 600, Charlotte, NC 28246. The listed phone number is (855) 478-8208.

What is Patina Medical Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Patina Medical Group, PC enrolled in Medicare?

Yes. Patina Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patina Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Patina Medical Group, PC. 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. The largest specialties are Nurse Practitioner (6), Family Practice (1) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patina Medical Group, PC was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.