Active NPI
Kent Seitz MD PA
- General Practice Physician
- Charlotte, NC
National Provider Identifier
1013210517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- KENT SEITZ MD PA
- Practice address
- 1421 Orchard Lake Drive
Suite C
Charlotte, NC 28270-9998 - Phone
- (704) 844-0181
- Fax
- (904) 701-6279
- NPI assigned
- Dec 6, 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
- Dr. Kent Seitz, M.D.
- Title
- Owner/President
- Phone
- (704) 844-0181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1421 Orchard Lake Drive
Suite C
Charlotte, NC 28270-9998
Mailing address
1421 Orchard Lake Drive
Suite C
Charlotte, NC 28270-9998
Phone (704) 844-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5914829 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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 |
|---|---|---|---|
| 34D2019071 | Kent Seitz, MD PA | Accreditation | Jul 28, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1467469320
-
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
- NPI 1740174705
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1316911159
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1952452039
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1982004552
-
- Clinical Social Worker
- Charlotte, NC
- NPI 1104921717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441929600000",
"number": "1013210517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 ORCHARD LAKE DRIVE",
"address_2": "SUITE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282709998",
"telephone_number": "704-844-0181",
"fax_number": "904-701-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 ORCHARD LAKE DRIVE",
"address_2": "SUITE C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282709998",
"telephone_number": "704-844-0181",
"fax_number": "904-701-6279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENT SEITZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-06",
"last_updated": "2015-09-11",
"status": "A",
"authorized_official_last_name": "SEITZ",
"authorized_official_first_name": "KENT",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "704-844-0181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5914829",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.