Indian Trail Family Medicine
NPI 1003842782 · Family Medicine Physician · Indian Trail, NC
Indian Trail Family Medicine is a Family Medicine Physician organization in Indian Trail, NC (NPI 1003842782).
Provider details
- NPI number
- 1003842782
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Wiens, Senior Vice President(704) 355-0648
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-06-24
- Last updated
- 2008-02-12
Frequently asked questions
- What is Indian Trail Family Medicine's NPI number?
- Indian Trail Family Medicine's National Provider Identifier (NPI) is 1003842782, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indian Trail Family Medicine?
- Indian Trail Family Medicine is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Indian Trail Family Medicine located?
- Indian Trail Family Medicine's practice location on file with NPPES is 4503 Old Monroe Rd, Indian Trail, NC 28079-5309.
- What is Indian Trail Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Indian Trail Family Medicine is (704) 821-6900.
- Who is the authorized official for Indian Trail Family Medicine?
- The authorized official listed on Indian Trail Family Medicine's NPPES record is Daniel Wiens, Senior Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indian Trail Family Medicine's NPI active?
- Yes — Indian Trail Family Medicine's NPI (1003842782) is active in the NPPES registry as of the last update on 2008-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.