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MAGNUSSON CLINIC PLLC
NPI 1821936535
Family Medicine in Charlotte, NC

Active since March 23, 2026CLIA 34D2344721 · Waiver
12749 NETHERHALL DR, CHARLOTTE, NC 28269(704) 412-8297 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 23, 2026, Mar 23, 2026 (3 updates tracked since 2026).

About Magnusson Clinic Pllc NPPES

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

MAGNUSSON CLINIC PLLC (NPI 1821936535) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Andreas Magnusson, Owner, as its authorized official.

NPPES Registry Identity

NPI1821936535
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNUSSON CLINIC PLLC
Location Address12749 NETHERHALL DRCharlotte, NC 28269-8405
Mailing Address12749 Netherhall DrCharlotte, NC 28269-8405
Phone(704) 412-8297
Organization SubpartNo
Authorized OfficialAndreas MagnussonOwner · (704) 412-8297
Enumeration DateMarch 23, 2026
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1821936535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
12749 NETHERHALL DR, Charlotte, NC 28269
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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

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 34D2344721

Magnusson Clinic PLLC · Charlotte, NC
Active · expires May 27, 2028
CLIA Number34D2344721
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorAndreas W. Magnusson
Laboratory Phone(319) 381-2205
Laboratory LocationMagnusson Clinic PLLC10320 Mallard Creek Rd, Charlotte, NC 28262
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Magnusson Clinic PLLC's NPI number?

The NPI number for Magnusson Clinic PLLC is 1821936535. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Magnusson Clinic PLLC located?

Magnusson Clinic PLLC is located at 12749 Netherhall Dr, Charlotte, NC 28269. The listed phone number is (704) 412-8297.

What is Magnusson Clinic PLLC's specialty?

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

Does Magnusson Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2344721) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnusson Clinic PLLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.