DBA CABARRUS MERCY CLINIC – NPI #1336155951
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

DBA CABARRUS MERCY CLINIC is a provider located in CONCORD, NC. NPPES has assigned the NPI number 1336155951 to DBA CABARRUS MERCY CLINIC on August 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA CABARRUS MERCY CLINIC” is a dba name, the actual legal business name for this organization is PROVIDENCE MEDICAL CLINIC, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 16 years ago on Feb 01, 2010. 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 DBA CABARRUS MERCY CLINIC below.

NPI Profile for
PROVIDENCE MEDICAL CLINIC, INC.

NPI Number
1336155951
Enumeration Date

(about 20 years 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
PROVIDENCE MEDICAL CLINIC, INC.
Doing Business As (dba): DBA CABARRUS MERCY CLINIC
Primary location
271 NE EXECUTIVE PARK DRIVE
CONCORD, NC 28025
Phone: (704) 721-4232 Fax: (704) 721-4240
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ADEBOLA ADEKANMBI
PRESIDENT
Phone: (704) 721-4232
Updated
Identifiers

Identifiers for DBA CABARRUS MERCY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC891226E
MEDICAIDNC89012PN
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
207R00000X
- Internal Medicine (Primary)		 NC NC9900744
174400000X
- Specialist		 NC 9900744

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.