Individual provider Active NPI

Cheryl Mathis, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1144745241
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010390 Issued in NC
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
263564NCMDRegistered Nurse
5010390NCMDFamily 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.

Verify at the official NPI Registry.