Individual provider Active NPI

Carly Armato Saulters, PA-C

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1275015380
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08410 Issued in NC
Practice address
9121 Sam Furr Rd Ste 108
Huntersville, NC 28078-8235
Phone
(704) 324-3590
Fax
(704) 324-3591
NPI assigned
Sep 5, 2018
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08410 NC Primary

Addresses

Primary practice location

9121 Sam Furr Rd Ste 108
Huntersville, NC 28078-8235

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

19485 Old Jetton Rd
Cornelius, NC 28031-6582
Phone (704) 316-5170

Other names 1

  • Miss Carly Marie Armato Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carmato246533@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190110002145 NC Practitioner - Physician Assistant 1557607660 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
Lifesource Prime IncGroup PAC ID 7810336385, 52 clinicians

Practice addresses (Care Compare)

3205 Randall Pkwy
Suite 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Nov 1, 2022 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Nov 1, 2022 Accepting new patients
Lifesource Prime Inc CurrentSince Sep 4, 2024 Accepting new patients
Lifesource of North Carolina Physician Assistant CurrentSince Sep 1, 2024 Accepting new patients
Lifesource of North Carolina Physician Assistant CurrentSince Sep 1, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 4, 2018 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations (25 of 30)

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

17078 Nat Bynum Ln
Unit 3
Cornelius, NC 28031
Phone (704) 324-3975

1600 Highwoods Blvd
Greensboro, NC 27410
Phone (336) 765-5350

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

11300 Cresthill Dr
Ste 120
Mint Hill, NC 28227
Phone (704) 438-9479

910 E Innes St
Salisbury, NC 28144
Phone (980) 330-6898

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1275015380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 SAM FURR RD STE 108",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788235",
            "telephone_number": "704-324-3590",
            "fax_number": "704-324-3591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19485 Old Jetton Rd",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280316582",
            "country_code": "US",
            "telephone_number": "704-316-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAULTERS",
        "first_name": "CARLY",
        "middle_name": "ARMATO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmato246533@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "19485 Old Jetton Rd",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280316582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "ARMATO",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.