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MECKLENBURG MEDICAL GROUP
NPI 1831414705
Internal Medicine in Charlotte, NC

Active since April 02, 2010
10650 PARK ROAD EXTENSION, SUITE 420, CHARLOTTE, NC 28210(704) 302-8700(704) 302-8701 Get Directions Write a Review

NPPES record last updated: April 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mecklenburg Medical Group NPPES

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

MECKLENBURG MEDICAL GROUP (NPI 1831414705) is a healthcare organization registered as an internal medicine in Charlotte, North Carolina and active in the NPI registry since April 2010. The organization lists Daniel L Wiens, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1831414705
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMECKLENBURG MEDICAL GROUP
Location Address10650 PARK ROAD EXTENSION, SUITE 420Charlotte, NC 28210-8539
Mailing AddressPo Box 60063Charlotte, NC 28260-0063 · (704) 302-8700 · Fax (704) 302-8701
Phone(704) 302-8700
Fax(704) 302-8701
Organization SubpartNo
Authorized OfficialDaniel L WiensSenior Vice President · (704) 335-0648
Enumeration DateApril 2, 2010
✔ NPI 1831414705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10650 PARK ROAD EXTENSION, Charlotte, NC 28210
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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

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 Mecklenburg Medical Group's NPI number?

The NPI number for Mecklenburg Medical Group is 1831414705. It was assigned to this organization in the NPPES registry on April 2, 2010.

Where is Mecklenburg Medical Group located?

Mecklenburg Medical Group is located at 10650 Park Road Extension Suite 420, Charlotte, NC 28210. The listed phone number is (704) 302-8700.

What is Mecklenburg Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mecklenburg Medical Group was last updated on April 2, 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.