Organization Active NPI

Sensenbrenner Primary Care, PLLC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1205813755
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SENSENBRENNER PRIMARY CARE, PLLC
Practice address
8821 Blakeney Professional Dr
Charlotte, NC 28277-6594
Phone
(704) 887-1101
Fax
(704) 887-1102
NPI assigned
Dec 27, 2005
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Emery Young, MDNPI 1497384200
Title
Owner
Phone
(704) 887-1101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

8821 Blakeney Professional Dr
Charlotte, NC 28277-6594

Mailing address

8821 Blakeney Professional Dr
Charlotte, NC 28277-6594
Phone (704) 887-1101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000241 NC Part B Supplier - Clinic/Group Practice 9234171315 Receives reassigned benefits from 4 practitioners
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1029607Sensenbrenner Primary Care8821 Blakeney Prof Dr, Charlotte, NC 28277Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Locations

8821 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 887-1101

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1205813755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 BLAKENEY PROFESSIONAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776594",
            "telephone_number": "704-887-1101",
            "fax_number": "704-887-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 BLAKENEY PROFESSIONAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776594",
            "telephone_number": "704-887-1101",
            "fax_number": "704-887-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSENBRENNER PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "EMERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-887-1101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.