NPIMap

Individual provider Active NPI

Nathan Patrick Fergus, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1124224639
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2019-00603 Issued in NC
Practice address
700 E Morehead St Ste 300
Charlotte, NC 28202
Phone
(704) 334-7780
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD37908 SC
Diagnostic Radiology Physician 2085R0202X 2019-00603 NC Primary

Addresses

Primary practice location

700 E Morehead St Ste 300
Charlotte, NC 28202

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 334-7780

Other practice location 1

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406-3928
Phone (912) 691-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150629000844 SC Practitioner - Diagnostic Radiology 6709000516 Reassigns benefits to 1 organization
I20190418001143 NC Practitioner - Diagnostic Radiology 6709000516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wright State University Boonshoft School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945

1656 Riverchase Blvd
Suite 1200
Rock Hill, SC 29732-0270
Phone (803) 327-9934

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019-00603NCMDDiagnostic Radiology Physician
MD37908SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Radiology P a CurrentSince Apr 1, 2019 Accepting new patients
Carolinas Imaging Services LLC CurrentSince May 1, 2019 Accepting new patients
Union Medical Services LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Carolinas Imaging Services, LLC CurrentSince Jul 1, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Charlotte Radiology PA Diagnostic Radiology PastSince Apr 1, 2019 Accepting new patients

Locations

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

12335 N Community House Rd
Ste B
Charlotte, NC 28277

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

7666 Charlotte Hwy
Ste 120
Indian Land, SC 29707
Phone (803) 328-6281

1656 Riverchase Blvd
Ste 1200
Rock Hill, SC 29732
Phone (803) 327-9934

Interoperability endpoints

  • Direct secure messaging: nathanfergus@scmgllc.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1124224639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-334-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 Eisenhower Dr",
            "address_2": "Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063928",
            "country_code": "US",
            "telephone_number": "912-691-4200",
            "fax_number": "912-691-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUS",
        "first_name": "NATHAN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD37908",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2019-00603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.