FUNCTIONAL MEDICINE 1 PLLC – NPI #1164284964
(Not Specified)

FUNCTIONAL MEDICINE 1 PLLC is a provider located in LINCOLNTON, NC. NPPES recently assigned the NPI number 1164284964 to FUNCTIONAL MEDICINE 1 PLLC on January 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider has not selected a primary taxonomy at this time.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FUNCTIONAL MEDICINE 1 PLLC below.

NPI Profile for
FUNCTIONAL MEDICINE 1 PLLC

NPI Number
1164284964
Created

(about a month ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FUNCTIONAL MEDICINE 1 PLLC
Primary location
111 DAVE WARLICK DR
LINCOLNTON, NC 28092-4411
Phone: (704) 214-0935 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AUSTIN GATES
OWNER
Phone: (704) 214-0935
Updated
Certification Date
Jan 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
This provider has not specified a taxonomy code.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.