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KELLOGG MEDICAL PLLC
NPI 1528699089
Family Medicine - Addiction Medicine in Charlotte, NC

Active since February 03, 2020
10352 PARK RD, CHARLOTTE, NC 28210(704) 288-1097 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2020, Feb 3, 2020 (2 updates tracked since 2020).

About Kellogg Medical Pllc NPPES

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

KELLOGG MEDICAL PLLC (NPI 1528699089) is a healthcare organization registered as an addiction medicine in Charlotte, North Carolina and active in the NPI registry since February 2020. The organization lists Alan Goodstat, Coo, as its authorized official.

NPPES Registry Identity

NPI1528699089
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameKELLOGG MEDICAL PLLC
Location Address10352 PARK RDCharlotte, NC 28210-8401
Mailing Address10352 Park RdCharlotte, NC 28210-8401 · (704) 288-1097
Phone(704) 288-1097
Organization SubpartNo
Authorized OfficialAlan GoodstatCoo · (704) 288-1097
Enumeration DateFebruary 3, 2020
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2020
✔ NPI 1528699089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
10352 PARK RD, Charlotte, NC 28210
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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

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

THE BLANCHARD INSTITUTE
Clinic/Center (Rehabilitation, Substance Use Disorder)
10352 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 288-1097

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 Kellogg Medical PLLC's NPI number?

The NPI number for Kellogg Medical PLLC is 1528699089. It was assigned to this organization in the NPPES registry on February 3, 2020.

Where is Kellogg Medical PLLC located?

Kellogg Medical PLLC is located at 10352 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 288-1097.

What is Kellogg Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Kellogg Medical PLLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.