Carolina Surgical Clinic of Charlotte, PA

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

CAROLINA SURGICAL CLINIC OF CHARLOTTE, PA

Practice address

2104 Randolph Rd
Charlotte, NC 28207-1522

Phone

(704) 377-3900

Fax

(704) 377-1244

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jacque Hovis Greenway

Title

Clinic Manager

Phone

(704) 377-3900

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wyatt Charles Fowler, M.D.

  • Surgery Physician
  • Charlotte, NC
  • NPI 1730287111
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245338557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071522",
            "telephone_number": "704-377-3900",
            "fax_number": "704-377-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071522",
            "telephone_number": "704-377-3900",
            "fax_number": "704-377-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURGICAL CLINIC OF CHARLOTTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREENWAY",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "HOVIS",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "704-377-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Speech Services, Inc.
• Carolina Spine & Rehab Center
• Carolina Spine and Rehab
• Carolina Sports Chiropractic PLLC
• Carolina Stem Cell Institute LLC
• Carolina Therapeutic Services First
• Carolina Therapeutics
• Carolina Therapy
• Carolina Therapy Center LLC
• Carolina Therapy Specialists, PLLC

• Surgical Oncology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Surgical Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.