Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlotte Primary Care, PA

Organization Internal Medicine Physician · NPI 1790762284

Charlotte Primary Care, PA is an Internal Medicine Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1918 Randolph Rd Ste 440
Charlotte, NC 28207-1100
Phone: (704) 342-8115
Fax: (704) 344-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 102928 (NC)

Record details

NPI number1790762284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Tam — President · (704) 342-8115
NPI enumeratedDecember 27, 2005
Last updated in NPPESJanuary 6, 2010
Mailing address1918 Randolph Rd, Suite 440, Charlotte, NC 28207-1100

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