1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Family Medicine
  6. NPI Profile

GERIDOC LLC
NPI 1790812840
Family Medicine - Geriatric Medicine in Charlotte, NC

Active since February 27, 2007
4431 MONTIBELLO DR, CHARLOTTE, NC 28226(704) 564-9030 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Geridoc Llc NPPES

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

GERIDOC LLC (NPI 1790812840) is a healthcare organization registered as a geriatric medicine in Charlotte, North Carolina and active in the NPI registry since February 2007. The organization lists Albert Shederick Ford, Doctor, as its authorized official.

NPPES Registry Identity

NPI1790812840
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGERIDOC LLC
Location Address4431 MONTIBELLO DRCharlotte, NC 28226-7420
Mailing Address4431 Montibello DrCharlotte, NC 28226-7420 · (704) 564-9030
Phone(704) 564-9030
Organization SubpartNo
Authorized OfficialAlbert Shederick FordDoctor · (704) 564-9030
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1790812840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NC · 930069
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
4431 MONTIBELLO DR, Charlotte, NC 28226
Open in Google Maps ↗

Other Identifiers 4

Medicare PINDG7956NC
Medicaid5909094NC
Medicare PIN232032NC
Other32996NC · Bcbs

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Geridoc LLC's NPI number?

The NPI number for Geridoc LLC is 1790812840. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Geridoc LLC located?

Geridoc LLC is located at 4431 Montibello Dr, Charlotte, NC 28226. The listed phone number is (704) 564-9030.

What is Geridoc LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Geridoc LLC was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.