DR. MARK JICOV GHALI MD, DC
NPI 1730424268
Student in an Organized Health Care Education/Training Program in Concord, NC

Q: What is Mark Ghali's NPI number?

The NPI number for Mark Ghali is 1730424268. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Q: What is Mark Ghali's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ghali was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.

Active since December 10, 2012PECOS Enrolled

270 COPPERFIELD BLVD NE STE 202, CONCORD, NC 28025(704) 721-2060 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Mar 24, 2025, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Mark Jicov Ghali Md, Dc NPPES

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

DR. MARK JICOV GHALI MD, DC (NPI 1730424268) is an individual student in an organized health care education/training program in Concord, North Carolina and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730424268

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MARK JICOV GHALICredential: MD, DC

Location Address270 COPPERFIELD BLVD NE STE 202Concord, NC 28025-2441

Mailing Address270 Copperfield Blvd Ne Ste 202Concord, NC 28025-2441 · (704) 721-2060

Phone(704) 721-2060

Sole ProprietorYes

Enumeration DateDecember 10, 2012

Last NPPES UpdateJune 22, 20264 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1730424268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedChiropractorTaxonomy 111N00000X · License CH11793 (FL), CHIR009029 (GA)

270 COPPERFIELD BLVD NE STE 202, Concord, NC 28025

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Secondary Practice Locations 3

Location 16703 14th St W Ste 101Bradenton, FL 34207-5836 · Phone (704) 576-2584

Location 26060 26th St WBradenton, FL 34207-4401 · Phone (704) 576-2584

Location 31501 Regency Way, Suite 104Woodstock, GA 30189-5487 · Phone (770) 693-7618

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Jicov Ghali Md, Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

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

ANDREW LEE SIMPSON DO

Student in an Organized Health Care Education/Training Program