Individual provider Active NPI

Priya J Mathur, FNP-BC

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1124763669
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024724 Issued in NC
Practice address
10905 Providence Rd W Ste 150
Charlotte, NC 28277-1538
Phone
(980) 302-7120
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25989 SC
Nurse Practitioner 363L00000X 5024724 NC
Family Nurse Practitioner 363LF0000X 5024724 NC Primary

Addresses

Primary practice location

10905 Providence Rd W Ste 150
Charlotte, NC 28277-1538

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1583 Health Care Dr
Rock Hill, SC 29732-3858
Phone (803) 329-7772

Other practice location 2

2403 Charlotte Hwy
Lancaster, SC 29720-8793
Phone (803) 286-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223000990 SC Practitioner - Nurse Practitioner 2062885957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Blood and Cancer Care Associates PA 7 clinicians

Practice addresses (Care Compare)

1583 Health Care Dr
Rock Hill, SC 29732-3858
Phone (803) 329-7772

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Blood and Cancer Care Associates, P.a. CurrentSince Dec 1, 2022 Accepting new patients

Locations

2403 Charlotte Hwy
Lancaster, SC 29720
Phone (803) 286-9696

1583 Health Care Dr
Rock Hill, SC 29732
Phone (803) 329-7772

Organizations & group practices 1

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 1

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1124763669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 PROVIDENCE RD W STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771538",
            "telephone_number": "980-302-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1583 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297323858",
            "country_code": "US",
            "telephone_number": "803-329-7772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2403 Charlotte Hwy",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297208793",
            "country_code": "US",
            "telephone_number": "803-286-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "PRIYA",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25989",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024724",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.