Active NPI
Anthony Jia-an Yan
- Neurology Physician
- Charlotte, NC
National Provider Identifier
1285208678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2026-04484
- Practice address
- 6324 Fairview Rd Ste 400
Charlotte, NC 28210-4278 - Phone
- (980) 302-8626
- NPI assigned
- May 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2026-04484 | NC | Primary |
| Neurology Physician | 2084N0400X | LL86227 | SC |
Addresses
Primary practice location
6324 Fairview Rd Ste 400
Charlotte, NC 28210-4278
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268
Other practice location 1
Prisma Health Medical Group Neurology Center
8 Medical Park, Suite 420
Columbia, SC 29203
Phone (803) 545-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210818002817 | SC | Order and Referring Only - Internal Medicine | 8325443039 | |
| I20250717000941 | PA | Order and Referring Only - Neurology | 8325443039 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1285208678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "844-266-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 FAIRVIEW RD STE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104278",
"telephone_number": "980-302-8626"
}
],
"practiceLocations": [
{
"address_1": "Prisma Health Medical Group Neurology Center",
"address_2": "8 Medical Park, Suite 420",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-545-6050",
"fax_number": "803-545-6051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAN",
"first_name": "ANTHONY",
"middle_name": "JIA-AN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2026-04484",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "LL86227",
"primary": false
}
],
"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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.