Teresa Necole Reid, PA-C
Individual provider Active NPI Physician Assistant · Charlotte, NC
NPI 1134436652 · NPPES record last updated Dec 1, 2021
Key facts
- NPI
- 1134436652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-02500 (NC)
- Practice address
- 225 Baldwin Ave
Charlotte, NC 28204-3109 - Phone
- (704) 376-1605
- Fax
- (704) 335-8448
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (980) 212-2000
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101021001119 | NC | Practitioner - Physician Assistant | 1355534488 | Reassigns benefits to 2 organizations |
| I20181002003061 | SC | Practitioner - Physician Assistant | 1355534488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Union Urgent Care LLC | Past | Accepting new patients | |
| Valley Emergency Physicians New Mexico PC | Past | Accepting new patients | |
| Michael a Rowley MD PA | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Emergency Medicine Physicians of Iredell County, PLLC | Past | Accepting new patients | |
| Southeastern Plains Emergency Physicians, LLC | Past | Accepting new patients | |
| New Mexico Em-1 Medical Services, P.C. | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Emergency Medicine Physicians of Gaston County, PLLC | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
Interoperability endpoints
- teresa.reid.p1@direct.cnsa.nextgenshare.com
- treid499525@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-02500 | NC | Yes |
Addresses
Primary practice location
225 Baldwin Ave
Charlotte, NC 28204-3109
Mailing address
225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Teresa.Reid.p1@direct.cnsa.nextgenshare.com | Direct |
Other providers in Charlotte, NC
- Mary E Reid
- Maurice S Reid
- Sandra Bradley Reid
- Sierra Reid
- Stephanie Reid
- Emma Kate Wright Reif
- Michael S. Reif
- Anna Succop Reigel
- Richard Bernard Reiling
- Aisling Maeve Reilly
All providers in Charlotte, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.