Brittany Ackroyd, PA
Individual provider Active NPI Physician Assistant · Charlotte, NC
NPI 1174886485 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1174886485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-03647 (NC)
- Practice address
- 1237 Harding PL
Ste 4200
Charlotte, NC 28204 - Phone
- (704) 373-0212
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
100 Medical Park Dr
Concord, NC 28025-2966
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
10650 Park Rd
Suite 300
Charlotte, NC 28210-8543
Phone (704) 667-3960
1225 Harding PL
Suite 1100
Charlotte, NC 28204-2826
Phone (704) 975-8408
1237 Harding PL
Charlotte, NC 28204-2826
134 Medical Park Rd
Suite 111
Mooresville, NC 28117-8527
Phone (704) 801-9100
920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
- Carolinas Medical Center-Northeast
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121030000376 | NC | Practitioner - Physician Assistant | 8325298268 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-03647 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
1001 Blythe Blvd
Ste 300
Charlotte, NC 28203
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
Interoperability endpoints
- backroyd464170@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03647 | NC | Yes |
Addresses
Primary practice location
1237 Harding PL
Ste 4200
Charlotte, NC 28204
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255
Other practice location 2
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
Phone (704) 373-0212
Other practice location 3
134 Medical Park Rd
Ste 111 - Adult Cardiology
Mooresville, NC 28117-8526
Phone (704) 801-9100
Other practice location 4
101 E W T Harris Blvd
Ste 1213
Charlotte, NC 28262-3485
Phone (704) 863-1950
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | backroyd464170@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
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- Jaderian Ackerman
- Jazmine Chanel Ackerman
- Meg Ackley
- Acm Counseling Services
- Acm Counseling Services PLLC
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All providers in Charlotte, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.