Active NPI
Sierra Simone Anderson, MD
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1023711017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2026-02238
- Practice address
- 8645 Rachel Freeman Way
Charlotte, NC 28278-9567 - Phone
- (704) 316-3608
- Fax
- (704) 316-3609
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 2026-02238 | NC | Primary |
Addresses
Primary practice location
8645 Rachel Freeman Way
Charlotte, NC 28278-9567
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000
Other practice location 2
1040 Wishard Blvd
Indianapolis, IN 46202-2872
Phone (317) 962-8893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230617000289 | IN | Order and Referring Only - Family Practice | 6305204660 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1023711017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8645 RACHEL FREEMAN WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282789567",
"telephone_number": "704-316-3608",
"fax_number": "704-316-3609"
}
],
"practiceLocations": [
{
"address_1": "1701 N Senate Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025306",
"country_code": "US",
"telephone_number": "317-962-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1040 Wishard Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462022872",
"country_code": "US",
"telephone_number": "317-962-8893",
"fax_number": "317-962-5479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "SIERRA",
"middle_name": "SIMONE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2026-02238",
"primary": true
}
],
"identifiers": [],
"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 Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.