Individual provider Active NPI

Carlos B Jorge, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1013925486
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200201267 Issued in NC
Practice address
3820 Randolph Heights Dr Ste 150
Charlotte, NC 28205-7566
Phone
(704) 360-5018
Fax
(980) 273-1102
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200201267 NC Primary

Addresses

Primary practice location

3820 Randolph Heights Dr Ste 150
Charlotte, NC 28205-7566

Mailing address

3820 Randolph Heights Dr Ste 150
Charlotte, NC 28205-7566
Phone (704) 360-5018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200201267NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Companion Health, PLLC Family Medicine CurrentSince Jul 28, 2019 Accepting new patients
Novant Medical Group Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlos.jorge@180054839525380.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1013925486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 RANDOLPH HEIGHTS DR STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057566",
            "telephone_number": "704-360-5018",
            "fax_number": "980-273-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 RANDOLPH HEIGHTS DR STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057566",
            "telephone_number": "704-360-5018",
            "fax_number": "980-273-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE",
        "first_name": "CARLOS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.