James Witten Altizer, MD, FACPH
Individual provider Active NPI Specialist · Charlotte, NC
NPI 1194866095 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194866095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 9900407 (NC)
- Practice address
- 10502 Park Rd
Suite 120
Charlotte, NC 28210-8479 - Phone
- (704) 341-1122
- Fax
- (704) 341-2085
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16147 Lancaster Hwy
Suite 140
Charlotte, NC 28277-4782
Phone (704) 727-6551
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050708000047 | NC | Practitioner - Internal Medicine |
7416992938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neogenix, PC | Current |
Accepting new patients | |
| Vein Associates Durham, P.C. | Specialist | Past | Accepting new patients |
| Carolina Vein Center PLLC | Past | Accepting new patients |
Locations
16147 Lancaster Hwy
Ste 140
Charlotte, NC 28277
Phone (704) 208-4134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9900407 | NC | Yes |
Addresses
Primary practice location
10502 Park Rd
Suite 120
Charlotte, NC 28210-8479
Mailing address
10502 Park Rd
Suite 120
Charlotte, NC 28210-8479
Phone (704) 341-1122
Other providers in Charlotte, NC
- Alternative Transitions of the Carolinas, Inc
- Alternative Youth and Family Services, LLC
- Alternatives Residential Services
- Danielle Margaret Altieri
- David Frank Altieri
- Coleman Eric Altman
- David A Altman
- Altrui Chiropractic Center, PLLC
- Akinyele O Aluko
- Gbenga Aluko
All providers in Charlotte, NC · Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.