| Amity Medical Group, Inc. | |
|
6010 E W T Harris Blvd Charlotte NC 28215-4084 | |
| (704) 208-4134 | |
| (704) 248-8068 |
| Full Name | Amity Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6010 E W T Harris Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Dequeena Smith (CREDENTIALING) |
| Authorized Official Contact | 7044935326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amity Medical Group, Inc. 6010 E W T Harris Blvd Charlotte NC 28215-4084 Ph: (704) 208-4134 | Amity Medical Group, Inc. 6010 E W T Harris Blvd Charlotte NC 28215-4084 Ph: (704) 208-4134 |
| NPI Number | 1003301300 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 7618205980 |
|---|---|
| Medicare Enrollment ID | O20190823002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003301300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard T Wynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356365480 PECOS PAC ID: 5890764419 Enrollment ID: I20040930000417 |
| Provider Name | Renae M Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639378706 PECOS PAC ID: 1951470624 Enrollment ID: I20080725000413 |
| Provider Name | Heather M Manos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427186022 PECOS PAC ID: 7315082161 Enrollment ID: I20110120000363 |
| Provider Name | Sarah Lynn Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083964290 PECOS PAC ID: 9436394335 Enrollment ID: I20130326000000 |
| Provider Name | Jerry Allen Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306137526 PECOS PAC ID: 7012226947 Enrollment ID: I20151015002229 |
| Provider Name | Jason Lamarr Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932675758 PECOS PAC ID: 2264762012 Enrollment ID: I20190923000809 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Pineville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians 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 |