Onespotmd Primary and Urgent Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ONESPOTMD PRIMARY AND URGENT CARE PLLC

Practice address

2017 Central Ave Ste 103
Charlotte, NC 28205-5388

Phone

(704) 904-2133

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Lee, MDNPI 1093060360

Title

Co-Owner

Phone

(704) 904-2133

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Onespotmd Primary and Urgent Care PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1750001749

  4183036650

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Onespotmd Primary and Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Onespotmd Primary and Urgent Care PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1750001749
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Nou Lee, M.D.

  • Family Medicine Physician
  • Mayodan, NC
  • NPI 1093060360

  Family Medicine, NC

  Medicare reassignment Care Compare group NPD Authorized official
• Briana Cherelle Anderson, NP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1346854544

  NC

  Medicare reassignment Care Compare group NPD
• Phuong Mai

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1508384934

  NC

  Medicare reassignment Care Compare group NPD
• Silvestro J Lijoi, D.O.

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1780679118

  Emergency Medicine, NC

  Medicare reassignment Care Compare group NPD
• Bethanne Wilson, NP-C

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1528692969

  NC

  Medicare reassignment

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1164021051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 CENTRAL AVE STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055388",
            "telephone_number": "704-904-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 CENTRAL AVE STE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055388",
            "telephone_number": "704-904-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESPOTMD PRIMARY AND URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-904-2133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Charlotte, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.