Individual provider Active NPI

Virginia A Bogar, SLP

  • Speech-Language Pathologist
  • Huntersville, NC
National Provider Identifier
1194732636
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7300 Issued in NC
Practice address
16455 Statesville Rd
Huntersville, NC 28078-7135
Phone
(704) 801-3719
NPI assigned
Aug 1, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7300 NC Primary

Addresses

Primary practice location

16455 Statesville Rd
Huntersville, NC 28078-7135

Mailing address

16455 Statesville Rd
Huntersville, NC 28078-7135
Phone (704) 801-3719

Other practice location 1

101 E Wt Harris Blvd
Suite 300
Charlotte, NC 28262-3485
Phone (704) 548-5780

Other practice location 2

705 Griffith St
Davidson, NC 28036-9304
Phone (704) 863-9973

Other names 1

  • Virginia E Atkinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204000082 NC Practitioner - Qualified Speech Language Pathologist 4082140801 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7300NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Speech-Language Pathologist CurrentSince Oct 1, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 1, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Atrium Health Specialty Network Inc Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients

Locations

101 E Wt Harris Blvd
Ste 300
Charlotte, NC 28262
Phone (704) 548-5780

1100 Blythe Blvd
Charlotte, NC 28203
Phone (704) 355-4300

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

3030 Randolph Rd
Charlotte, NC 28211
Phone (704) 512-4420

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

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

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1194732636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787135",
            "telephone_number": "704-801-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787135",
            "telephone_number": "704-801-3719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wt Harris Blvd",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623485",
            "country_code": "US",
            "telephone_number": "704-548-5780",
            "fax_number": "704-548-5876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Griffith St",
            "address_purpose": "LOCATION",
            "city": "Davidson",
            "state": "NC",
            "postal_code": "280369304",
            "country_code": "US",
            "telephone_number": "704-863-9973",
            "fax_number": "704-863-9971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGAR",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "ATKINSON",
            "middle_name": "E",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.