Charlotte Community Health Clinic, Inc.
A Medicare group practice based in Charlotte, NC: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0840502274), with 32 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0840502274
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC
- Enrollments
- 6
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 10
Enrollment records 6
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20150626001703 | NC | Part B Supplier - Clinic/Group Practice | 1528363868 |
| O20150710002205 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1528363868 |
| O20161108000849 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1902251275 |
| O20230518001415 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1053065201 |
| O20250918002520 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1710625983 |
| O20240820003222 | NC | Part A Provider - Federally Qualified Health Center (FQHC) | 1073367249 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Charlotte Community Health Clinic Inc
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1710625983
-
Charlotte Community Health Clinic, Inc.
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1053065201
-
Charlotte Community Health Clinic, Inc.
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1073367249
-
Charlotte Community Health Clinic, Inc.
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1528363868
-
Charlotte Community Health Clinic, Inc.
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1902251275
-
Charlotte Community Health Clinic, Inc.
- Federally Qualified Health Center (FQHC)
- Charlotte, NC
- NPI 1215499520
Practice locations
- Charlotte, NC10
Clinicians 32
Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (8).
-
Heather L Bartlett, LCSW
- Clinical Social Worker
- Charlotte, NC
- NPI 1003554411
-
Sarah Blake, PA
- Physician Assistant
- Charlotte, NC
- NPI 1629139886
-
Jonathan William Butler, MD, M.ED.
- Addiction Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1386753325
-
Tiffany Gail Byerly, MD
- Pediatrics Physician
- Louisville, KY
- NPI 1922535012
-
Hilary L Canipe, MD
- Family Medicine Physician
- Charlotte, NC
- NPI 1225059884
-
Amanda Renee Cruz, FNP
- Family Nurse Practitioner
- Denver, CO
- NPI 1902421365
-
Tashana Detwiler, DMD
- Public Health Dentistry
- Concord, NC
- NPI 1205500147
-
Lashandra Nicole Duncan, DNP, FNP-BC,PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
- NPI 1255679049
-
Neo Mamoraka Ehiwe
- General Practice Dentistry
- Lilburn, GA
- NPI 1942947858
-
Brittanie Almitra Height, DMD
- General Practice Dentistry
- Charlotte, NC
- NPI 1427794775
-
Shatamra Jackson, MSW
- Clinical Social Worker
- Charlotte, NC
- NPI 1255929253
-
Lisa Ann Langley, FNP
- Family Nurse Practitioner
- Charlotte, NC
- NPI 1457693426
-
Lubabatu Inuwa Maimai
- Family Nurse Practitioner
- Salisbury, NC
- NPI 1124635586
-
Melissa Catherine McGovern
- Clinical Social Worker
- Raleigh, NC
- NPI 1427737683
-
Rosa Mirna Medina, FNP-C
- Family Nurse Practitioner
- Charlotte, NC
- NPI 1689454241
-
Israel Miguel Mendez, PA-C
- Physician Assistant
- Wilmington, NC
- NPI 1275155186
-
Sveta Mohanan, MD
- Family Medicine Physician
- Charlotte, NC
- NPI 1316023336
-
Yuliya Rudnitsky Olson, DMD
- General Practice Dentistry
- Omaha, NE
- NPI 1508379611
-
Rachael Vaughn Pennell, MSW, LCSW-A
- Clinical Social Worker
- Charlotte, NC
- NPI 1285087031
-
Victor Ivan Perry, DMD
- General Practice Dentistry
- Charlotte, NC
- NPI 1720660483
-
Alagusivakumari Rameshbabu, MD
- Hospitalist Physician
- Charlotte, NC
- NPI 1003850389
-
Andrea Simmons Rice, MD
- Pediatrics Physician
- Concord, NC
- NPI 1801962246
-
Brandy Sampson, FNP
- Family Nurse Practitioner
- Snow Hill, NC
- NPI 1770191835
-
Daphne Kaye Sharpe, DNP, FNP-BC
- Nurse Practitioner
- Winston Salem, NC
- NPI 1518012350
-
Ronald Dean Shore II, PA-C
- Physician Assistant
- Chicago, IL
- NPI 1083957740
-
Amy Kathleen Spencer, DNP, NP-C
- Adult Health Nurse Practitioner
- Charlotte, NC
- NPI 1821342536
-
Raymond Tanwani Tah, FNP
- Family Nurse Practitioner
- Harrisburg, NC
- NPI 1518482710
-
Nga Tran, MD
- Pediatrics Physician
- Charlotte, NC
- NPI 1043847049
-
Trang Tran
- Dentist
- Charlotte, NC
- NPI 1437728268
-
Maite Mishel Velazquez Hernandez, PA-C
- Physician Assistant
- Charlotte, NC
- NPI 1023814142
-
Mallori Watson, D.M.D.
- Dentist
- Granbury, TX
- NPI 1417268038
-
Harold Theodore Zeltner, MD
- Internal Medicine Physician
- Indian Trail, NC
- NPI 1508955980
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.