THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI# 1992173165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992173165 |
| Entity Type | Organization |
| Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | ATRIUM HEALTH GASTROENTEROLOGY & HEPATOLOGY MOREHEAD MEDICAL PLAZA |
| Practice Address |
1025 Morehead Medical Dr Ste 300 Charlotte NC 28204-2963 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7043554593 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Atrium Health Gastroenterology & Hepatology Morehead Medical Plaza | Doing Business As Name - Organization |
| Carolinas HealthCare System Digestive Health Morehead Medical Plaza | Doing Business As Name - Organization |
| Carolinas HealthCare System Digestive Health Morehead Medical Plaza | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1588978290 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 441 Mcalister Road, Suite 1100b, Lincolnton, NC 28092-0000 | 2010-08-05 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1326088139 | The Charlotte-mecklenburg Hospital Authority | General Acute Care Hospital | 433 Mcalister Drive, Lincolnton, NC 28092-4147 | 2006-06-08 |
| 1114564416 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 150 Winchester Ave, Monroe, NC 28110-3161 | 2019-12-05 |
| 1538637137 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue, Suite 600, Charlotte, NC 28204 |
| Washington State Corporations | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 1000 Blythe Blvd, Charlotte, NC 28203 |
| Colorado Business Entities | The Charlotte-Mecklenburg Hospital Authority | C/o Office of General Counsel, 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Alabama Business Registrations | The Charlotte-Mecklenburg Hospital Authority | 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Virginia Business Entities | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue Suite 600, Charlotte, North Carolina 28204 |
| Street Address |
1025 MOREHEAD MEDICAL DR STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257332 | David Iannitti | Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2005-07-07 |
| 1336760628 | Victoria Cleveland | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2020-04-28 |
| 1093349656 | Leah Carnick Ledford | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 500 5th Floor, Charlotte, NC 28204-2963 | 2020-02-23 |
| 1700429222 | Mary Irvine | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-10-28 |
| 1780231340 | Lauren Lover | Physician Assistant | 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204-2963 | 2019-08-19 |
| 1760037634 | Lisa Johnston | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-08-07 |
| 1104470392 | Claire Lawson | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-07-26 |
| 1457904971 | Megan Cosgrove | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2019-07-23 |
| 1629637061 | Lisa Dunton | Advanced Practice Midwife | 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204-2963 | 2019-06-10 |
| 1194282061 | Amy Slana | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1528086980 | Ronnie Cyzner | Internal Medicine | 10370 Park Rd Ste 102, Charlotte, NC 28210-8509 | 2006-07-17 |
| 1326066705 | Fred Charles Fowler | Internal Medicine | 101 E Wt Harris Blvd Ste 3111, Charlotte, NC 28262-7002 | 2006-07-17 |
| 1124052444 | Carolina Digestive Health Associates, Pa | Internal Medicine | 300 Billingsley Road, Suite 200, Charlotte, NC 28211 | 2006-07-11 |
| 1275566283 | Preston Pemberton Purdum IIi | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-10 |
| 1407814999 | Dennis D Kokenes | Internal Medicine | 15830 John J Delaney Dr, Suite 175, Charlotte, NC 28277-3294 | 2006-05-03 |
| 1881007540 | Nicolas Labarre | Internal Medicine | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2014-06-10 |
| 1316365067 | Victoria Maldonado Rothwell | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1180 | 2014-03-31 |
| 1053671586 | Olanrewaju Yusuf Jimoh | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211 | 2012-05-17 |
| 1407144744 | David Olson | Internal Medicine | 10502 Park Rd, Ste 150, Charlotte, NC 28210-8479 | 2011-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.