Active NPI
Carolina Urology Partners PLLC
- Urology Physician
- Huntersville, NC
National Provider Identifier
1013210004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- CAROLINA UROLOGY PARTNERS PLLC
- Practice address
- 9735 Kincey Ave
Ste 201
Huntersville, NC 28078-9120 - Phone
- (704) 414-2870
- Fax
- (704) 414-2862
- NPI assigned
- Dec 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Courtney Clair
- Title
- Ceo
- Phone
- (704) 414-2856
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
9735 Kincey Ave
Ste 201
Huntersville, NC 28078-9120
Mailing address
9735 Kincey Ave
Ste 201
Huntersville, NC 28078-9120
Phone (704) 414-2870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110303000580 | NC | Part B Supplier - Clinic/Group Practice | 8921280587 |
Receives reassigned benefits from 41 practitioners Practice locations: Charlotte, NC; Concord, NC; Denver, NC; Fort Mill, SC; Gastonia, NC; Huntersville, NC; Monroe, NC; Mooresville, NC… |
| O20110411000681 | SC | Part B Supplier - Clinic/Group Practice | 8921280587 |
Receives reassigned benefits from 18 practitioners Practice locations: Fort Mill, SC; Rock Hill, SC; West Columbia, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0965361 | Carolina Urology Partners, PLLC | Provider-performed microscopy | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
6602 Roberta Rd
Harrisburg, NC 28075
Phone (704) 454-5558
9735 Kincey Ave
Ste 301
Huntersville, NC 28078
9735 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 414-2855
128 Medical Park Rd
Ste 301
Mooresville, NC 28117
Phone (704) 660-3322
7021 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 358-6743
580 Kingsley Park Dr
#150
Fort Mill, SC 29715
Phone (803) 578-7600
111 W Hospital Dr
West Columbia, SC 29169
Phone (803) 796-8515
Practitioners & affiliated clinicians
Practitioners 63
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1013210004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 KINCEY AVE",
"address_2": "STE 201",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789120",
"telephone_number": "704-414-2870",
"fax_number": "704-414-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 KINCEY AVE",
"address_2": "STE 201",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789120",
"telephone_number": "704-414-2870",
"fax_number": "704-414-2862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA UROLOGY PARTNERS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-13",
"last_updated": "2024-07-03",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "CLAIR",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-414-2856",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
- Carolina Integrative Therapy PLLC
- Carolina Kids Therapy Services, Inc
- Carolina Medicorp Enterprises, LLC
- Carolina Neurosurgery & Spine Associates, PA
- Carolina Therapy Collective PLLC
- Carolinas Hometown Respiratory LLC
- Carolinas Medical Center
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.