Nmg Affiliate Practice I, Llc

LBN: Nmg Affiliate Practice I, Llc
Nmg Affiliate Practice I, Llc is an health care organization with primary practice located at 1918 Randolph Rd Suite 175, Charlotte NC 28207-1100. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Nmg Affiliate Practice I, Llc can be contacted via phone (704) 316-1050, or through Gardner, Geoffrey K. via phone (704) 384-9094.

Contact Information

Primary practice address
1918 Randolph Rd Suite 175 Charlotte NC 28207-1100
Phone: (704) 316-1050
Fax: (704) 316-1051
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey K.
Phone: (704) 384-9094

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1295785228
LBN Legal business name Nmg Affiliate Practice I, Llc
DBA Doing business as
Authorized official Gardner, Geoffrey K.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated May 4th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295785228 NPPES
North Carolina Other 011A9 BCBS NC
North Carolina MEDICAID 89011A9 BCBS NC
North Carolina MEDICAID NPA901 BCBS NC

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