Nathaniel Copeland
Individual provider Active NPI Driver · Charlotte, NC
NPI 1194512202 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1194512202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- SJ042607 (OH)
- Practice address
- 1921 Willow Haven LN Apt 1B
Charlotte, NC 28262-7717 - Phone
- (614) 664-3127
- NPI assigned
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SJ042607 | OH | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | SJ042607 | OH | Yes |
Addresses
Primary practice location
1921 Willow Haven LN Apt 1B
Charlotte, NC 28262-7717
Mailing address
1921 Willow Haven LN Apt 1B
Charlotte, NC 28262-7717
Phone (614) 664-3127
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.