Calvary Community Medical Clinic
NPI 1356222483ActiveOrganization· Internal Medicine· Charlotte, NC
Internal Medicine in Charlotte, North Carolina, registered in NPPES in September 2025. The authorized official on file is Okyere Bonna, Administator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356222483 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2025 |
| Last updated in NPPES | Feb 12, 2026 |
| Certified by provider | Feb 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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