Individual provider Active NPI

Joanne Poje Tomasulo, M.D.

  • General Practice Physician
  • Charlotte, NC
National Provider Identifier
1285770883
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2025-03091 Issued in NC
Practice address
650 S Tryon St
Charlotte, NC 28202-3271
Phone
(704) 626-6266
Fax
(704) 585-8039
NPI assigned
Jan 30, 2007
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2025-03091 NC Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 35.78117 OH
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 35078117 OH

Addresses

Primary practice location

650 S Tryon St
Charlotte, NC 28202-3271

Mailing address

650 S Tryon St Ste 440
Charlotte, NC 28202-3271
Phone (704) 626-6266

Other names 1

  • Joanne Poje Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 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
I20040309000815 OH Practitioner - Family PracticePractitioner - General Practice 4688562895 Reassigns benefits to 1 organization
I20260610000549 NC Practitioner - Addiction Medicine 4688562895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.78117OHMDAddiction Medicine (Family Medicine) Physician
35078117OHMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Feb 27, 2025 Accepting new patients
Signify Health, LLC General Practice CurrentSince Jan 13, 2026 Accepting new patients
Dublin Urgent Care Inc Past Accepting new patients
Reserve Health, PC Past Accepting new patients
Lance Family Medicine Past Accepting new patients
Andra G Lance Past Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13989/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1285770883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S TRYON ST STE 440",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023271",
            "telephone_number": "704-626-6266",
            "fax_number": "704-585-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023271",
            "telephone_number": "704-626-6266",
            "fax_number": "704-585-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASULO",
        "first_name": "JOANNE",
        "middle_name": "POJE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2025-03091",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.78117",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35078117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "POJE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.