Healthcare Provider Details

I. General information

NPI: 1649105578
Provider Name (Legal Business Name): MEAGIN MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17105 KENTON DR STE 200C
CORNELIUS NC
28031-5654
US

IV. Provider business mailing address

5385 STONE BROOK CT
DAVIDSON NC
28036-7747
US

V. Phone/Fax

Practice location:
  • Phone: 980-434-6715
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPO23852
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: