Active NPI
Cheryl Mathis, FNP-C
- Family Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1144745241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5010390
- Practice address
- 8601 University E Dr
Charlotte, NC 28213-4353 - Phone
- (704) 597-3500
- Fax
- (704) 597-3595
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 263564 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5010390 | NC | Primary |
Addresses
Primary practice location
8601 University E Dr
Charlotte, NC 28213-4353
Mailing address
5046 Zulli LN
Charlotte, NC 28214-2562
Phone (862) 233-5028
Other practice location 1
3506 W Tyvola Rd
Charlotte, NC 28208-7201
Phone (704) 329-1300 ext. 31115
Other practice location 2
7003 West Friendly Avenue
Unit E
Greensboro, NC 27410
Phone (863) 233-5028
Other practice location 3
4935 Albemarle Rd
Charlotte, NC 28205-6617
Phone (704) 506-1054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263564 | NC | MD | Registered Nurse |
| 5010390 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144745241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5046 ZULLI LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282142562",
"telephone_number": "862-233-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 UNIVERSITY E DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282134353",
"telephone_number": "704-597-3500",
"fax_number": "704-597-3595"
}
],
"practiceLocations": [
{
"address_1": "3506 W Tyvola Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282087201",
"country_code": "US",
"telephone_number": "704-329-1300 x31115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7003 WEST FRIENDLY AVENUE",
"address_2": "Unit E",
"address_purpose": "LOCATION",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27410",
"country_code": "US",
"telephone_number": "863-233-5028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4935 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282056617",
"country_code": "US",
"telephone_number": "704-506-1054",
"fax_number": "704-566-9038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHIS",
"first_name": "CHERYL",
"name_prefix": "Miss",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2022-07-21",
"certification_date": "2020-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "263564",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5010390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.