EAGLE MEDICAL CENTER
NPI 1487942314
Internal Medicine in Charlotte, NC

Active since July 12, 2011CLIA 34D2029581 · Accreditation
6005 HICKORY GROVE ROAD, CHARLOTTE, NC 28215(704) 945-6480(704) 926-5439 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eagle Medical Center NPPES

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

EAGLE MEDICAL CENTER (NPI 1487942314) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since July 2011. The organization holds an CLIA Accreditation certificate valid through December 6, 2026 and lists Lhynne Lesko, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1487942314
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEAGLE MEDICAL CENTER
Location Address6005 HICKORY GROVE ROADCharlotte, NC 28215-5104
Mailing Address6005 Hickory Grove RoadCharlotte, NC 28215 · (704) 945-6480 · Fax (704) 926-5439
Fax(704) 926-5439
Organization SubpartNo
Authorized OfficialLhynne LeskoBusiness Administrator · (704) 934-5434
Enumeration DateJuly 12, 2011
Last NPPES UpdateDecember 22, 2011
NPI 1487942314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 200501333
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.

6005 HICKORY GROVE ROAD, Charlotte, NC 28215

Other Identifiers 4

Medicare PIN1245563352NC
Medicaid5913081NC
Medicare UPINI50899NC
Other14096NC · Bluecross Blueshield

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2029581

Eagle Medical Center · Charlotte, NC
Active · expires Dec 6, 2026
CLIA Number34D2029581
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorGbenga Aluko
Laboratory Phone(704) 945-6480
Laboratory LocationEagle Medical Center6005 Hickory Grove Road, Charlotte, NC 28215
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487942314, enumerated as an "organization" on July 12, 2011.

The provider is located at 6005 HICKORY GROVE ROAD CHARLOTTE, NC 28215 and the phone number is (704) 945-6480.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.