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Export Provider Record NPI 1093076184
David Earl SmallMD
Active
NPI Number1093076184
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1093076184
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2012-06-05
Last Updated2020-10-25
Mailing AddressPo Box 60447
Charlotte, NC 28260-0447
United States
Phone: (704) 316-5080 | Fax: (704) 316-5085
📍 View Map
Primary Practice Address5815 Blakeney Park Dr, Suite 200
Charlotte, NC 28277-5731
United States
Phone: (704) 316-5080 | Fax: (704) 316-5085
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineNC183546
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About NPI 1093076184

David Earl Small MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093076184. The primary specialty listed is Family Medicine. The provider is located in Charlotte, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093076184?

NPI 1093076184 belongs to David Earl Small MD, a Family Medicine in Charlotte, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093076184 active?

The current status of NPI 1093076184 in the NPPES registry is Active. The record was last updated on 2020-10-25.

What specialty is NPI 1093076184?

NPI 1093076184 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1093076184?

You can verify NPI 1093076184 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1093076184?

The primary practice address on file for NPI 1093076184 is 5815 Blakeney Park Dr, Charlotte, NC 28277-5731. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093076184 issued?

NPI 1093076184 was first issued (enumerated) on 2012-06-05. The NPPES record was last updated on 2020-10-25.

Practice Location Map

David Earl Small is located at 5815 Blakeney Park Dr, Charlotte, NC. Use the map below to find directions or verify the practice location.

📍 5815 Blakeney Park Dr, Charlotte, NC 28277-5731  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as David Earl Small. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093076184. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine183546NC
Data Verified from CMS NPPES Last synced: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162