OrganizationActive
Mecklenburg Medical Group
NPI 1780909101 · Internal Medicine Physician · Charlotte, NC
Provider details
- NPI number
- 1780909101
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Wiens, Senior Vice President(704) 355-0648
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
15110 John J Delaney Drive
Suite 200
Charlotte, NC 28277-3545
Phone: (704) 302-8100
Fax: (704) 302-8101
Street-level locationGet directions
Mailing address
Po Box 60063
Charlotte, NC 28260-0063
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2010-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.