MEDICARE: NORTH MECKLENBURG FAMILY PRACTICE GROUP PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	NC18523	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44170	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1225139660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH MECKLENBURG FAMILY PRACTICE GROUP PA

Provider Business Mailing Address
First Line	:	6111 RUMPLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262
Country	:	US
Telephone Number	:	704-596-5067
Fax Number	:	704-599-9458

Provider Business Practice Location Address
First Line	:	6111 RUMPLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262
Country	:	US
Telephone Number	:	704-596-5067
Fax Number	:	704-599-9458

Authorized Official
Title or Position	:	MD PRESIDENT
Name	:	JEROME HOWARD
Credential	:	MD
Telephone Number	:	704-596-5067

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/09/2010

Similar Medicare Providers

1063206571 — DR. KAYLA AMANDA SUDDETH WALDEN DC
Practice Location Address:

10320 MALLARD CREEK RD STE 210
CHARLOTTE, NC
28262-9756

Practice Phone: 704-226-4444
Practice Fax:

1467349902 — KASTLE CHIROPRACTIC
Practice Location Address:

10320 MALLARD CREEK RD STE 210
CHARLOTTE, NC
28262-9756

Practice Phone: 704-226-4444
Practice Fax:

1629656301 — EMMA KATHERINE NOWICKI MD
Practice Location Address:

101 E W T HARRIS BLVD , SUITE 1121
CHARLOTTE, NC
28262

Practice Phone: 704-717-2000
Practice Fax:

1093671216 — ISABEL LOURDES GONZALEZ CPO
Practice Location Address:

301 MCCULLOUGH DR STE 400
CHARLOTTE, NC
28262-1336

Practice Phone: 877-437-6276
Practice Fax:

1811231350 — MRS. ALLYSON ALLEN ROBINSON LCSW
Practice Location Address:

301 MCCULLOUGH DR STE 400
CHARLOTTE, NC
28262-1336

Practice Phone: 704-659-3778
Practice Fax:

1699631697 — JADE PORTER
Practice Location Address:

2631 EARLY FLIGHT DR
CHARLOTTE, NC
28262-1648

Practice Phone: 704-942-4572
Practice Fax:

1568327435 — DR. ARIEL HOLLIS OTD
Practice Location Address:

2110 BEN CRAIG DR STE 300
CHARLOTTE, NC
28262-2302

Practice Phone: 704-595-9363
Practice Fax:

Directions to “NORTH MECKLENBURG FAMILY PRACTICE GROUP PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.