Sugar Creek Medical Center, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUGAR CREEK MEDICAL CENTER, PLLC

Practice address

5104 Reagan Dr Ste 3
Charlotte, NC 28206-1392

Phone

(715) 661-1652

NPI assigned

May 4, 2020

Last updated

May 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beau Wakefield, NP-C,MSN,RN,BSN,MS

Title

Member

Phone

(715) 661-1652

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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.

• Fredrick Huffin, NP-C

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1033711171
  NPD

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1194346924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 REAGAN DR STE 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061392",
            "telephone_number": "715-661-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 REAGAN DR STE 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061392",
            "telephone_number": "715-661-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR CREEK MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-661-1652",
        "authorized_official_credential": "NP-C,MSN,RN,BSN,MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "281541",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jerica.l@injurycentergroup.com",
            "affiliation": "N",
            "endpointDescription": "Work related email",
            "address_1": "5104 Reagan Dr Ste 3",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282061392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Jane Sudikoff, DMD
• Justin Craig Sudlow, DPT
• Donald J Sudy, MD
• Sue's Mobile Services
• Luisa Suess, MA, QMHP,QRP
• Sugarcreek Medical Center (Americare Health)
• Gary R Sugg, DDS MS
• William Sugg
• Dana Kelli Suggs
• Jasmine Monique Suggs, OD

• Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.