Active NPI
Charlotte Cardiology Associates, PLLC
- Cardiovascular Disease Physician
- Indian Land, SC
National Provider Identifier
1104113745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 477
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T00870 | Medicaid | SC | |
| 891055F | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Indian Land, SC
- NPI 1346282555
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
- Carolina Smile Dentistry, LLC
- Carolina Spine LLC
- Carolina Vision
- Carolinas Physicians Network Inc (Atrium Health Urgent Care)
- Carolinas Physicians Network Inc (The Sanger Clinic)
- Daniel Chavez
- William Thomas Chirico Jr., PT
- Vinutha Chowdary Muppuri, MD
- Robert B Cline, RPH
- Nichol Margaret Coburn, DDS
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.