Individual provider Active NPI

Elizabeth Hill Averick, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1083718233
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1812 Issued in NC
Practice address
6853 Fairview Rd Ste 100C
Charlotte, NC 28210-3662
Phone
(704) 362-5400
NPI assigned
Sep 11, 2006
Last updated
Jun 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1812 NC Primary
Chiropractor 111N00000X 2553 SC
Chiropractor 111N00000X CH5078 FL

Addresses

Primary practice location

6853 Fairview Rd Ste 100C
Charlotte, NC 28210-3662

Mailing address

6853 Fairview Rd Ste 100C
Charlotte, NC 28210-3662
Phone (704) 362-5400

Other identifiers 1

IdentifierTypeStateIssuer
0853BOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5078FLMDChiropractor
2553SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Altrui Chiropractic Center, PLLC Chiropractor CurrentSince May 21, 2023 Accepting new patients

Locations

6853 Fairview Rd
Ste 100C
Charlotte, NC 28210
Phone (704) 362-5400

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1083718233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 FAIRVIEW RD STE 100C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103662",
            "telephone_number": "704-362-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 FAIRVIEW RD STE 100C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103662",
            "telephone_number": "704-362-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERICK",
        "first_name": "ELIZABETH",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1812",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2553",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0853B",
            "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 Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.