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PARK ROAD MEDICAL CLINIC
NPI 1508811530
Family Medicine in Charlotte, NC

Active since May 25, 2006CLIA 34D0244321 · Waiver
1700 ABBEY PL, STE 200 PARK ROAD MEDICAL CLINIC, CHARLOTTE, NC 28209(704) 523-2565(704) 344-1241 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Road Medical Clinic NPPES

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

PARK ROAD MEDICAL CLINIC (NPI 1508811530) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists George L Raad, Owner, as its authorized official.

NPPES Registry Identity

NPI1508811530
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGEORGE L RAAD MD DBA
Location Address1700 ABBEY PL, STE 200 PARK ROAD MEDICAL CLINICCharlotte, NC 28209-3742
Mailing AddressPo Box 66White Sulphur Springs, WV 24986-0066 · (304) 536-5030 · Fax (304) 536-5031
Phone(704) 523-2565
Fax(704) 344-1241
Organization SubpartNo
Authorized OfficialGeorge L RaadOwner · (704) 523-2565
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 23, 2019
✔ NPI 1508811530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 27283
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1700 ABBEY PL, Charlotte, NC 28209
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Other Names 1

Doing Business AsPark Road Medical Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Waiver 34D0244321

Park Road Medical · Charlotte, NC
Active · expires Aug 31, 2026
CLIA Number34D0244321
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGeorge L. Raad
Laboratory Phone(704) 523-2565
Laboratory LocationPark Road Medical3541 Randolph Rd Suite 101, Charlotte, NC 28211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. EDWARD R MOGABGAB M.D.
Internal Medicine
1700 ABBEY PL, STE 200
CHARLOTTE, NC 28209
Mecklenburg County (704) 262-7240
GEORGE LOUIS RAAD MD
Family Medicine
1700 ABBEY PL, STE 201 PARK ROAD MEDICAL CLINIC
CHARLOTTE, NC 28209
Mecklenburg County (704) 523-2565

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 George L Raad MD Dba's NPI number?

The NPI number for George L Raad MD Dba is 1508811530. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Park Road Medical Clinic.

Where is George L Raad MD Dba located?

George L Raad MD Dba is located at 1700 Abbey Pl Ste 200 Park Road Medical Clinic, Charlotte, NC 28209. The listed phone number is (704) 523-2565.

What is George L Raad MD Dba's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does George L Raad MD Dba hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0244321) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does George L Raad MD Dba accept?

Health plans from Blue Cross and Blue Shield of NC list George L Raad MD Dba 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 George L Raad MD Dba was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.