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Amity Medical Group, Inc.

Federally Qualified Health Center (FQHC) in Charlotte, NC · enumerated 2018 · authorized official Dequeena Smith, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003301300

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Registry record

Entity type Organization (Type 2)
Legal business name Amity Medical Group, Inc.
Practice address 6010 E W T Harris Blvd, Charlotte, NC, 28215
Fax (704) 248-8068
Enumeration date Jun 28, 2018
Last updated in NPPES Jul 31, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Dequeena Smith
Title Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Amity Medical Group, Inc.?
The NPI for Amity Medical Group, Inc. is 1003301300, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Amity Medical Group, Inc.?
NPPES lists Dequeena Smith (Credentialing) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-31.