Individual provider Active NPI

Everlyn Lilease Hall-Baker, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1174574149
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33372 Issued in NC
Practice address
1805 Sardis Rd N Ste 124
Charlotte, NC 28270-1479
Phone
(704) 269-6127
Fax
(866) 387-3974
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33372 NC Primary

Addresses

Primary practice location

1805 Sardis Rd N Ste 124
Charlotte, NC 28270-1479

Mailing address

1805 Sardis Rd N Ste 124
Charlotte, NC 28270-1479
Phone (704) 269-6127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060923000024 NC Practitioner - Family Practice 5496750572 Reassigns benefits to 6 organizations
I20220630003159 SC Practitioner - Family PracticePractitioner - Internal Medicine 5496750572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1805 Sardis Rd N
Suite 124
Charlotte, NC 28270-1479
Phone (704) 269-6127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33372NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arboretum Urgent Care Center Family Medicine CurrentSince Jun 7, 2010 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 7, 2010 Accepting new patients
First Care Medical Clinic Family Medicine CurrentSince Mar 30, 2022 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 7, 2010 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
First Care Medical Clinic, PA Family Medicine CurrentSince May 23, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 6, 2016 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Jun 7, 2010 Accepting new patients
First Care Medical Clinic Family Medicine CurrentSince Mar 30, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 6, 2016 Accepting new patients
Gapover MD, PLLC Family Medicine CurrentSince Oct 10, 2016 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients

Locations (25 of 27)

9040 Nations Ford Rd
Charlotte, NC 28273
Phone (704) 225-8548

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2938 The Plaza
Charlotte, NC 28205
Phone (704) 375-0404

14214 Ballantyne Lake Rd
Ste 150A
Charlotte, NC 28277
Phone (704) 863-4678

5801 Executive Center Dr
Ste 100
Charlotte, NC 28212
Phone (704) 567-1977

231 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 304-6400

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

309 S Sharon Amity Rd
Ste 100
Charlotte, NC 28211
Phone (704) 366-7586

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1805 Sardis Rd N
Ste 124
Charlotte, NC 28270
Phone (704) 269-6127

9908 Couloak Dr
Ste 202
Charlotte, NC 28216
Phone (704) 801-3050

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

1090 NE Gateway Ct NE
Ste 202
Concord, NC 28025
Phone (704) 403-9050

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

705 Griffith St
Ste 100
Davidson, NC 28036
Phone (704) 801-7900

1896 Remount Rd
Gastonia, NC 28054
Phone (704) 512-3930

16455 Statesville Rd
Ste 100
Huntersville, NC 28078
Phone (704) 801-1701

12905 Rosedale Hill Ave
Huntersville, NC 28078
Phone (704) 801-1000

6030 W Highway 74
Indian Trail, NC 28079
Phone (704) 246-2777

332 N Trade St
#1100
Matthews, NC 28105
Phone (704) 512-6850

412 E Franklin St
Monroe, NC 28112
Phone (704) 289-9461

404 S Sutherland Ave
Monroe, NC 28112

215 S Main St
Mt Holly, NC 28120
Phone (704) 393-4808

Interoperability endpoints

  • Direct secure messaging: ehallbaker128492@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1174574149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SARDIS RD N STE 124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701479",
            "telephone_number": "704-269-6127",
            "fax_number": "866-387-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 SARDIS RD N STE 124",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701479",
            "telephone_number": "704-269-6127",
            "fax_number": "866-387-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-BAKER",
        "first_name": "EVERLYN",
        "middle_name": "LILEASE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.