Fort Health Medical Group PA
Psychiatry & Neurology, Child & Adolescent Psychiatry in Charlotte, North Carolina
1114766284- Practice location
- 212 S Tryon St Ste 100, Charlotte, NC 28281-0033
- Phone
- 201-208-2616
- Fax
- 973-381-5773
- Last updated
- May 20, 2024
Fort Health Medical Group PA is a healthcare organization based in Charlotte, NC. Fort Health Medical Group PA practices in Charlotte, NC. The NPI Number for Fort Health Medical Group PA is 1114766284. The current practice location address for Fort Health Medical Group PA is 212 S Tryon St Ste 100, Charlotte, NC 28281-0033 and can be reached out via phone at 201-208-2616 and via fax at 973-381-5773.
Provider Profile Details
- NPI Number
- 1114766284
- Provider Name
- Fort Health Medical Group PA
- Provider Entity Type
- Organization
- Address
- 212 S Tryon St Ste 100, Charlotte, NC 28281-0033
- Phone Number
- 201-208-2616
- Fax Number
- 973-381-5773
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Organization Subpart
- No
- Authorized Official
- Traci Crosby · Credentialing Manager · 201-503-4815
- Other Names
- Fort Health Medical Group Of Nc (Doing Business As)
- Provider Enumeration Date
- May 20, 2024
- Last Update Date
- May 20, 2024
- Certification Date
- May 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 212 S Tryon St Ste 100
Charlotte, NC 28281-0033 - City
- Charlotte
- State
- North Carolina
- Zip
- 28281-0033
- Phone Number
- 201-208-2616
- Fax Number
- 973-381-5773
Provider Business Mailing Address Details
- Address
- 613 Washington Blvd # 1297
Jersey City, NJ 07310-2900 - City
- Jersey City
- State
- NJ
- Zip
- 07310-2900
- Phone Number
- 201-208-2616
- Fax Number
- 973-381-5773
License Information
- Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Fort Health Medical Group PA?
The NPI number of Fort Health Medical Group PA is 1114766284. It was assigned on May 20, 2024 and is currently active in the NPPES registry.
What is the specialty of Fort Health Medical Group PA?
Fort Health Medical Group PA is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X).
Where does Fort Health Medical Group PA practice?
The practice location is 212 S Tryon St Ste 100, Charlotte, NC 28281-0033. The office can be reached at 201-208-2616 (phone) or 973-381-5773 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114766284 directly on the NPPES registry website.