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Mecklenburg Medical Group

Q: What type of organization is Mecklenburg Medical Group?

Mecklenburg Medical Group is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Internal Medicine Physician in Charlotte, NC · enumerated 2006 · authorized official Daniel Wiens, Senior Vice President.

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

National Provider Identifier

1255364535

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Registry record

Entity type Organization (Type 2)

Legal business name Mecklenburg Medical Group

Practice address 7903 Providence Rd, Suite 100, Charlotte, NC, 28277

Phone (704) 367-8610

Fax (704) 367-6798

Enumeration date Jul 9, 2006

Last updated in NPPES Mar 6, 2013

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary

207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary

207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians Secondary

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Daniel Wiens

Title Senior Vice President

Phone (704) 355-0648

Other identifiers

Identifier	Type	State	Issuer
E08621	Medicaid	SC	-
5902311	Medicaid	NC	-
89013CO	Medicaid	NC	-
89013CW	Medicaid	NC	-
89013CY	Medicaid	NC	-
5903117	Medicaid	NC	-
89013AF	Medicaid	NC	-
5901377	Medicaid	NC	-
5905557	Medicaid	NC	-
89015NA	Medicaid	NC	-
89013PP	Medicaid	NC	-
89013CX	Medicaid	NC	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Mecklenburg Medical Group?

Mecklenburg Medical Group is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-06.