Amity Medical Group, Inc.
NPI 1003301300 · Federally Qualified Health Center (FQHC) · Charlotte, NC
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amity Medical Group, Inc. is a Federally Qualified Health Center (FQHC) organization in Charlotte, NC (NPI 1003301300).
Provider details
- NPI number
- 1003301300
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dequeena Smith, Credentialing(704) 493-5326
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 2300 Randolph Rd Ste aCharlotte, NC 28207-1586Phone: (704) 764-1387
- 9835 Monroe Rd # BCharlotte, NC 28270-1471Phone: (704) 208-4134Fax: (704) 246-8068
- 7945 N Tryon St Ste 112Charlotte, NC 28262-3587Phone: (704) 764-1387
- 10508 Park Rd Ste 130Charlotte, NC 28210-8526Phone: (704) 208-4134
- 824 Lower Dallas HwyDallas, NC 28034-9368Phone: (704) 208-4134Fax: (704) 246-8068
Registry dates
- Enumerated
- 2018-06-28
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Frequently asked questions
- What is Amity Medical Group, Inc.'s NPI number?
- Amity Medical Group, Inc.'s National Provider Identifier (NPI) is 1003301300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amity Medical Group, Inc.?
- Amity Medical Group, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Amity Medical Group, Inc. located?
- Amity Medical Group, Inc.'s practice location on file with NPPES is 6010 E W T Harris Blvd, Charlotte, NC 28215-4084.
- What is Amity Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Amity Medical Group, Inc. is (704) 208-4134.
- Does Amity Medical Group, Inc. accept Medicare?
- Amity Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Amity Medical Group, Inc.?
- The authorized official listed on Amity Medical Group, Inc.'s NPPES record is Dequeena Smith, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amity Medical Group, Inc.'s NPI active?
- Yes — Amity Medical Group, Inc.'s NPI (1003301300) is active in the NPPES registry as of the last update on 2024-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.