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

Mountain Island Family Medicine, PC

Organization Primary Care Clinic/Center · NPI 1669664264

Mountain Island Family Medicine, PC is a Primary Care Clinic/Center in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10226 Couloak Dr Ste 110
Charlotte, NC 28216-7675
Phone: (704) 399-1415
Fax: (704) 399-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 125435 (NC)

Record details

NPI number1669664264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clayton Bailey — President · (704) 399-1415
NPI enumeratedAugust 16, 2007
Last updated in NPPESFebruary 2, 2011
Mailing address10226 Couloak Dr, Suite 110, Charlotte, NC 28216-7675

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