INDIAN TRAIL MEDICAL CLINIC, INC.
NPI 1790823672
Specialist in Indian Trail, NC

Q: What is Indian Trail Medical Clinic, Inc.'s NPI number?

The NPI number for Indian Trail Medical Clinic, Inc. is 1790823672. It was assigned to this organization in the NPPES registry on February 2, 2007.

Q: What is Indian Trail Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 02, 2007

301 S. INDIAN TRAIL ROAD, INDIAN TRAIL, NC 28079(704) 821-7056(704) 821-7057 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Indian Trail Medical Clinic, Inc. NPPES

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

INDIAN TRAIL MEDICAL CLINIC, INC. (NPI 1790823672) is a healthcare organization registered as a specialist in Indian Trail, North Carolina and active in the NPI registry since February 2007. The organization lists George S.c. Tsai, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1790823672

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameINDIAN TRAIL MEDICAL CLINIC, INC.

Location Address301 S. INDIAN TRAIL ROADIndian Trail, NC 28079

Mailing AddressPo Box 430Indian Trail, NC 28079-0430 · (704) 821-7056 · Fax (704) 821-7057

Phone(704) 821-7056

Fax(704) 821-7057

Organization SubpartNo

Authorized OfficialGeorge S.c. TsaiMedical Doctor · (704) 821-7056

Enumeration DateFebruary 2, 2007

Last NPPES UpdateJanuary 28, 2010

✔ NPI 1790823672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 22284

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

301 S. INDIAN TRAIL ROAD, Indian Trail, NC 28079

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Other Identifiers 4

Other01856NC · Bcbs Provider Number

Medicaid8901856NC

Medicare UPINC86836NC

Medicare ID-Type Unspecified0893NC · Provider Number

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

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 Indian Trail Medical Clinic, Inc.'s NPI number?

The NPI number for Indian Trail Medical Clinic, Inc. is 1790823672. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is Indian Trail Medical Clinic, Inc. located?

Indian Trail Medical Clinic, Inc. is located at 301 S. Indian Trail Road, Indian Trail, NC 28079. The listed phone number is (704) 821-7056.

What is Indian Trail Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Indian Trail Medical Clinic, Inc. was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.