Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Central Carolina Medical Clinic, PA

Organization Family Medicine Physician · NPI 1407271109

Central Carolina Medical Clinic, PA provides Family Medicine Physician services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 Little Rock Rd
Charlotte, NC 28214 Not confirmed with CMS for 12 years — call before visiting
Phone: (704) 532-8884
Fax: (704) 532-8789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2008-00070 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2000-00566 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1407271109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tuong Nguyen — Owner/Physician · (704) 532-8884
Other names Central Carolina Medical Clinic, Pa - Paw Creek Center
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing address6404 Albemarle Road, Suite J & K, Charlotte, NC 28214

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