Active NPI
Charlotte Plastic Surgery Center, PA
- Specialist
- Charlotte, NC
National Provider Identifier
1184673048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 38920
- Legal business name
- CHARLOTTE PLASTIC SURGERY CENTER, PA
- Practice address
- 2215 Randolph Rd
Charlotte, NC 28207-1523 - Phone
- (704) 971-1438
- Fax
- (704) 688-3899
- NPI assigned
- May 9, 2006
- Last updated
- Sep 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janit Pike
- Title
- Chief Operating Officer
- Phone
- (704) 971-1421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38920 | NC | Primary |
Addresses
Primary practice location
2215 Randolph Rd
Charlotte, NC 28207-1523
Mailing address
2215 Randolph Rd
Charlotte, NC 28207-1523
Phone (704) 372-6846
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Charlotte, NC
- NPI 1831585850
-
- Plastic Surgery Physician
- Charlotte, NC
- NPI 1669634119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725580800000",
"number": "1184673048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071523",
"telephone_number": "704-372-6846",
"fax_number": "704-342-0752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071523",
"telephone_number": "704-971-1438",
"fax_number": "704-688-3899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE PLASTIC SURGERY CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A",
"authorized_official_last_name": "PIKE",
"authorized_official_first_name": "JANIT",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "704-971-1421"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "38920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Charlotte Pediatric Clinic (Atrium Health Levine Children's Charlotte Pediatrics)
- Charlotte Pediatric Clinic (Atrium Health Levine Children's Charlotte Pediatrics)
- Charlotte Pediatric Therapy
- Charlotte Pediatric Therapy Services, Inc.
- Charlotte Physical Therapy and Performance, LLC
- Charlotte Primary Care, PA
- Charlotte Primary Services Inc.
- Charlotte Proactive MD PC
- Charlotte Proactive Peters DC PC
- Charlotte Psychological Assessment II PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.