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

Providence Medical Clinic, Inc

Organization Specialist · NPI 1336155951

Providence Medical Clinic, Inc provides Specialist services in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

271 NE Executive Park Dr
Concord, NC 28025 Not confirmed with CMS for 16 years — call before visiting
Phone: (704) 721-4232
Fax: (704) 721-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence NC9900744 (NC)
Specialist Taxonomy 174400000X · Licence 9900744 (NC)

Record details

NPI number1336155951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adebola Adekanmbi — President · (704) 721-4232
Other names Dba Cabarrus Mercy Clinic
NPI enumeratedAugust 1, 2006
Last updated in NPPESFebruary 1, 2010
Mailing address271 Ne Executive Park Drive, Concord, NC 28025

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