Individual provider Active NPI

Susan C Echterling, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1245208628
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200001027869 Issued in NC
Practice address
7108 Pineville Matthews Rd
Suite 102
Charlotte, NC 28226-8371
Phone
(704) 542-2191
Fax
(704) 542-4243
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200001027869 NC Primary
Internal Medicine Physician 207R00000X 9600903 NC

Addresses

Primary practice location

7108 Pineville Matthews Rd
Suite 102
Charlotte, NC 28226-8371

Mailing address

7108 Pineville Matthews Rd
Suite 102
Charlotte, NC 28226-8371
Phone (704) 542-2191

Other identifiers 2

IdentifierTypeStateIssuer
8930129MedicaidNC
P00196139OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040917000059 NC Practitioner - Emergency Medicine 3577531607 Reassigns benefits to 2 organizations
I20171117002282 WV Practitioner - Emergency Medicine 3577531607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.97 of 100Reported as group
Quality
79.68
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200001027869NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Rowan Medical Center LLC CurrentSince Sep 29, 2018 Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 29, 2018 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients
Mema SC LLC Emergency Medicine PastSince Oct 13, 2024 Accepting new patients

Locations

501 S Sharon Amity Rd
Ste 300
Charlotte, NC 28211
Phone (704) 319-5821

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1245208628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268371",
            "telephone_number": "704-542-2191",
            "fax_number": "704-542-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268371",
            "telephone_number": "704-542-2191",
            "fax_number": "704-542-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHTERLING",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200001027869",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930129",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00196139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.