OrganizationActive
Mountain Island Family Medicine, PC
NPI 1669664264 · Primary Care Clinic/Center · Charlotte, NC
Provider details
- NPI number
- 1669664264
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clayton Bailey, President(704) 399-1415
- License
- 125435 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
10226 Couloak Dr
Suite 110
Charlotte, NC 28216-7675
Phone: (704) 399-1415
Fax: (704) 399-1415
Street-level locationGet directions
Mailing address
10226 Couloak Dr
Charlotte, NC 28216-7675
Registry dates
- Enumerated
- 2007-08-16
- Last updated
- 2011-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.