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

Prime Health Medical Clinic, PA

Organization Internal Medicine Physician · NPI 1063781094

Prime Health Medical Clinic, PA is an Internal Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3
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

1400 Medford Dr
Charlotte, NC 28205-5624
Phone: (704) 940-5588
Fax: (704) 940-5589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Internal Medicine Physician Taxonomy 207R00000X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X

Record details

NPI number1063781094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sylvester Ogbata — Owner · (203) 545-9119
NPI enumeratedDecember 20, 2011
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address7619 Berryfield Ct, Waxhaw, NC 28173-9817

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