Organization Active NPI

Charlotte Cardiology Associates, PLLC

  • Cardiovascular Disease Physician
  • Indian Land, SC
National Provider Identifier
1104113745
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
477 Issued in SC
Legal business name
CHARLOTTE CARDIOLOGY ASSOCIATES, PLLC
Practice address
7666 Charlotte Hwy
Ste 230
Indian Land, SC 29707
Phone
(803) 547-8800
Fax
(803) 547-8822
NPI assigned
Jul 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Kelly Sinagra
Title
Billing
Phone
(803) 547-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 477 SC Primary

Addresses

Primary practice location

7666 Charlotte Hwy
Ste 230
Indian Land, SC 29707

Mailing address

7666 Charlotte Hwy
Ste 230
Indian Land, SC 29707
Phone (803) 547-8800

Other identifiers 2

IdentifierTypeStateIssuer
T00870MedicaidSC
891055FMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907001194 SC Part B Supplier - Clinic/Group Practice 1355511015 Receives reassigned benefits from 1 practitioner
Practice locations: Indian Land, SC

National Provider Directory

National Provider Directory

Locations

7666 Charlotte Hwy
Ste 230
Indian Land, SC 29707
Phone (803) 547-8800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1104113745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7666 CHARLOTTE HWY",
            "address_2": "STE 230",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "29707",
            "telephone_number": "803-547-8800",
            "fax_number": "803-547-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7666 CHARLOTTE HWY",
            "address_2": "STE 230",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "29707",
            "telephone_number": "803-547-8800",
            "fax_number": "803-547-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE CARDIOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-04",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "SINAGRA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "803-547-8800"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T00870",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891055F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.