ATLANTIC UROLOGY PC – NPI #1376649830
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

ATLANTIC UROLOGY PC is an urologist located in SUPPLY, NC. NPPES has assigned the NPI number 1376649830 to ATLANTIC UROLOGY PC on September 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ATLANTIC UROLOGY PC below.

NPI Profile for
ATLANTIC UROLOGY PC

NPI Number
1376649830
Enumeration Date

(more than 19 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
ATLANTIC UROLOGY PC
Primary location
20 MEDICAL CAMPUS DR
SUITE 202
SUPPLY, NC 28462-4096
Phone: (910) 362-8765 Fax:
Mailing address
PO BOX 30727
CHARLOTTE, NC 28230-0727
Phone: (910) 362-8765 Fax:
Organization Subpart
No
Authorized Official
RICHARD MYNATT
OWNER M.D
Phone: (910) 362-8765
Updated
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
208800000X
- Urology (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.