<unavail> in Charlotte, NC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Charlotte, North Carolina. The current practice location for is 212 S Tryon St Ste 100, Charlotte, North Carolina. For appointments, you can reach them via phone at (931) 253-1110. The mailing address for is Po Box 306414, Nashville, Kentucky and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609634633. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (931) 253-1110.

Contact Information


	212 S Tryon St Ste 100 Charlotte NC 28281-0033
	(931) 253-1110
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	212 S Tryon St Ste 100, Charlotte, North Carolina
Authorized Official Name and Position	Melissa Harlan (DIRECTOR, CREDENTIALING/ENROLLMENT)
Authorized Official Contact	6159489639
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 306414 Nashville KY 30641 Ph: () -	212 S Tryon St Ste 100 Charlotte NC 28281-0033 Ph: (931) 253-1110

NPI Details:

NPI Number	1609634633
Provider Enumeration Date	03/13/2024
Last Update Date	01/10/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	0143525998
Medicare Enrollment ID	O20240619000807

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609634633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Powell Russ Proctor
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1992354310 PECOS PAC ID: 9830421197 Enrollment ID: I20191106000913

Provider Name	Marie Scheller Hamrick
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1922732601 PECOS PAC ID: 2163806092 Enrollment ID: I20220826000895

Reviews and Comments

Clinic/Center in Charlotte, NC

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Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954

- Medicare Primary Care in Charlotte, NC