South Charlotte Rheumatology, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

SOUTH CHARLOTTE RHEUMATOLOGY, PLLC

Practice address

8840 Blakeney Professional Dr Ste 200
Charlotte, NC 28277-6806

Phone

(704) 672-0449

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Firas Kassab, MDNPI 1366649014

Title

Physician Owner

Phone

(704) 672-0449

Specialties & licenses 1

Addresses

Tax ID family

South Charlotte Rheumatology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Charlotte Rheumatology, PLLC

  • Rheumatology Physician
  • Charlotte, NC
  • NPI 1598410565
  NPD tax ID

Practitioners 1

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

• Firas Kassab, M.D.

  • Rheumatology Physician
  • Charlotte, NC
  • NPI 1366649014
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1114709003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 BLAKENEY PROFESSIONAL DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776806",
            "telephone_number": "704-672-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 BLAKENEY PROFESSIONAL DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776806",
            "telephone_number": "704-672-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHARLOTTE RHEUMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "704-672-0449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Charlotte General and Vascular Surgery PLLC
• South Charlotte Pain Relief Center, Inc.
• South Charlotte Pediatrics, PLLC
• South Charlotte Physical Therapy LLC
• South Charlotte Primary Care
• South Charlotte Rheumatology, PLLC
• South East Mecklenburg County Health Department
• South Fork Optometric Associates, P.a.
• South Lake Pediatrics
• South Park Aesthetics

• Non-Pharmacy Dispensing Site in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.