Healthcare Provider Details

I. General information

NPI: 1447101548
Provider Name (Legal Business Name): ALBEMARLE FAMILY AND OCCUPATIONAL MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S CANNON BLVD
KANNAPOLIS NC
28083-5261
US

IV. Provider business mailing address

500 S CANNON BLVD
KANNAPOLIS NC
28083-5261
US

V. Phone/Fax

Practice location:
  • Phone: 980-340-9505
  • Fax: 888-894-1580
Mailing address:
  • Phone: 980-340-9505
  • Fax: 888-894-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY CHANCE
Title or Position: OWNER
Credential: PA-C
Phone: 980-581-0113