CHICORA MEDICAL GROUP PA – NPI #1770552119
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

CHICORA MEDICAL GROUP PA is a provider located in SHALLOTTE, NC. NPPES has assigned the NPI number 1770552119 to CHICORA MEDICAL GROUP PA on March 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 19 years ago on Dec 07, 2007. 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 CHICORA MEDICAL GROUP PA below.

NPI Profile for
CHICORA MEDICAL GROUP PA

NPI Number
1770552119
Enumeration Date

(more than 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
CHICORA MEDICAL GROUP PA
Primary location
341-B WHITEVILLE RD
SHALLOTTE, NC 28470
Phone: (910) 754-8731 Fax: (910) 754-3153
Mailing address
PO BOX 2528
SHALLOTTE, NC 28459
Phone: (910) 754-8731 Fax: (910) 754-3153
Organization Subpart
No
Authorized Official
BERNARD LANGSTON
PRESIDENT
Phone: (910) 754-8731
Updated
Identifiers

Identifiers for CHICORA MEDICAL GROUP PA

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
MEDICAIDNC890180P
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
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)

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.