OrganizationActive
United Primary Diagnostic Center
NPI 1316400088 · Community Health Nurse Practitioner · Charlotte, NC
Provider details
- NPI number
- 1316400088
- Entity type
- Organization
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Enasha James, Medical Administrator(980) 237-4768
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Clinical Medical Laboratory291U00000X
Laboratories
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
2103 N Graham St Ste B
Charlotte, NC 28206-2548
Phone: (336) 370-9232
Fax: (336) 274-7200
Approximate (ZIP-level) locationGet directions
Mailing address
2103 N Graham St Ste B
Charlotte, NC 28206-2548
Additional practice locations (2)
- 721 Spruce StCharlotte, NC 28203-4330Phone: (704) 258-2580Fax: (336) 274-7200
- 1207 4th St.Greensboro, NC 27405-6622Phone: (336) 370-9232Fax: (336) 274-7200
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2020-12-17
- Certified
- 2020-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.