Deark Medical Center PLLC
NPI 1376046003 · Internal Medicine Physician · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deark Medical Center PLLC is a Internal Medicine Physician organization in Charlotte, NC (NPI 1376046003).
Provider details
- NPI number
- 1376046003
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Efemwonkiekie Iyamu, President/Ceo(913) 302-1470
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Migrant Health Clinic/Center261QM1000X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-03-08
- Last updated
- 2019-02-06
Frequently asked questions
- What is Deark Medical Center PLLC's NPI number?
- Deark Medical Center PLLC's National Provider Identifier (NPI) is 1376046003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deark Medical Center PLLC?
- Deark Medical Center PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Deark Medical Center PLLC located?
- Deark Medical Center PLLC's practice location on file with NPPES is 3719 Latrobe Dr Ste 840, Charlotte, NC 28211-5121.
- What is Deark Medical Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Deark Medical Center PLLC is (913) 302-1470.
- Does Deark Medical Center PLLC accept Medicare?
- Deark Medical Center PLLC 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 Deark Medical Center PLLC?
- The authorized official listed on Deark Medical Center PLLC's NPPES record is Efemwonkiekie Iyamu, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deark Medical Center PLLC's NPI active?
- Yes — Deark Medical Center PLLC's NPI (1376046003) is active in the NPPES registry as of the last update on 2019-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.