Individual provider Active NPI

Clarence P Coutts, MD

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1285686550
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
592000 Issued in NJ
Practice address
8601 University East Dr
Charlotte, NC 28213-4353
Phone
(704) 597-3500
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 592000 NJ Primary

Addresses

Primary practice location

8601 University East Dr
Charlotte, NC 28213-4353

Mailing address

8601 University East Dr
Charlotte, NC 28213-4353
Phone (704) 597-3500

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140410001684 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5092947747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
592000NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1285686550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 UNIVERSITY EAST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134353",
            "telephone_number": "704-597-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 UNIVERSITY EAST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134353",
            "telephone_number": "704-597-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTTS",
        "first_name": "CLARENCE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "592000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.