Carolina Urology Partners PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

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

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Benjamin Anderson, MD

  • Urology Physician
  • Huntersville, NC
  • NPI 1689165078
  Medicare reassignment Care Compare group NPD
• Shem Kearney Blackley III, M.D.

  • Urology Physician
  • Shelby, NC
  • NPI 1578576674
  Medicare reassignment Care Compare group NPD
• Cameron Trent Blackman, MD

  • Urology Physician
  • Concord, NC
  • NPI 1568448223
  Medicare reassignment Care Compare group NPD
• Kassidy Shea Blanton, FNP

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1457950818
  Medicare reassignment Care Compare group NPD
• Michael Brame, M.D.

  • Urology Physician
  • Shelby, NC
  • NPI 1487667424
  Medicare reassignment Care Compare group NPD
• Brian Derek Buzzeo, M.D.

  • Urology Physician
  • Gastonia, NC
  • NPI 1407805823
  Medicare reassignment Care Compare group NPD
• Michael Raymond Cram

  • Urology Physician
  • Mooresville, NC
  • NPI 1104802859
  Medicare reassignment Care Compare group NPD
• Joseph Michael Debord, MD

  • Urology Physician
  • Concord, NC
  • NPI 1861478539
  Medicare reassignment Care Compare group NPD
• Mary Jane Gerstein, NP

  • Nurse Practitioner
  • Gastonia, NC
  • NPI 1457496853
  Medicare reassignment Care Compare group NPD
• Carol Lynne Heglar, NP

  • Nurse Practitioner
  • Concord, NC
  • NPI 1790069342

  Urology

  Medicare reassignment Care Compare group NPD
• Ciamack Kamdar, M.D.

  • Urology Physician
  • Gastonia, NC
  • NPI 1922280973
  Medicare reassignment Care Compare group NPD
• David Benjamin Konstandt, M.D.

  • Urology Physician
  • Mooresville, NC
  • NPI 1881670164
  Medicare reassignment Care Compare group NPD

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": []
}

• Carolina Integrative Therapy PLLC
• Carolina Kids Therapy Services, Inc
• Carolina Medicorp Enterprises, LLC (Novant Health GoHealth Urgent Care)
• Carolina Neurosurgery & Spine Associates, PA
• Carolina Therapy Collective PLLC
• Carolinas Hometown Respiratory LLC
• Carolinas Medical Center (Carolinas Back and Sports Specialists)
• Carolinas Medical Center-Northeast (NorthEast Endocrinology - Huntersville)
• Carolinas Medical Center-Northeast (Carolina Pediatric Gastroenterology-Huntersville)
• Carolinas Medical Center-Northeast (Northeast Neurology -Huntersville)

• Urology Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Urology Physician in North Carolina

• 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.

Verify at the official NPI Registry.