Active NPI
Pamela Jean Culp, M.D.
- Diagnostic Radiology Physician
- Charlotte, NC
National Provider Identifier
1194796623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27669
- Practice address
- Mecklenburg Radiology Associates, P.a.
3623 Latrobe Dr, Suite 216
Charlotte, NC 28211 - Phone
- (704) 332-1291
- Fax
- (704) 332-5206
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27669 | NC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 13347 | SC |
Addresses
Primary practice location
Mecklenburg Radiology Associates, P.a.
3623 Latrobe Dr, Suite 216
Charlotte, NC 28211
Mailing address
Mecklenburg Radiology Associates, P.a.
3623 Latrobe Dr, Suite 216
Charlotte, NC 28211
Phone (704) 332-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892644B | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13347 | SC | MD | Pharmacist |
| 27669 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecklenburg Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1295790657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249344000000",
"number": "1194796623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MECKLENBURG RADIOLOGY ASSOCIATES, P.A.",
"address_2": "3623 LATROBE DR, SUITE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28211",
"telephone_number": "704-332-1291",
"fax_number": "704-332-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MECKLENBURG RADIOLOGY ASSOCIATES, P.A.",
"address_2": "3623 LATROBE DR, SUITE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28211",
"telephone_number": "704-332-1291",
"fax_number": "704-332-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULP",
"first_name": "PAMELA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2009-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "27669",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "13347",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892644B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.