Individual provider Active NPI

Christina Leung Griffith

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1154878205
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06710 Issued in NC
Practice address
11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821
Phone
(980) 308-0169
Fax
(980) 308-0173
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06710 NC Primary

Addresses

Primary practice location

11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143

Other names 1

  • Christina Leung Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cleung404603@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20161110002092 NC Practitioner - Physician Assistant 7315226529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

15235 John J Delaney Dr
Suite B
Charlotte, NC 28277-2846
Phone (704) 243-8937

1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365

445 S Kings Dr
Charlotte, NC 28204-3041
Phone (980) 308-0141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59065CAMDProsthodontist
0010-06710NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 19, 2016 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Sep 19, 2016 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations (25 of 28)

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

4815 Berewick Town Center Dr
Ste Cd
Charlotte, NC 28278
Phone (980) 337-4652

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

17078 Nat Bynum Ln
Unit 3
Cornelius, NC 28031
Phone (704) 324-3975

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

11300 Cresthill Dr
Ste 120
Mint Hill, NC 28227
Phone (704) 438-9479

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1154878205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 SOUTHMORE DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774821",
            "telephone_number": "980-308-0169",
            "fax_number": "980-308-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282105801",
            "country_code": "US",
            "telephone_number": "980-308-0143",
            "fax_number": "980-308-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "CHRISTINA",
        "middle_name": "LEUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cleung404603@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "11840 Southmore Dr Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282774821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "LEUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.