NPIMap

Carolinas Medical Center

Organization Active NPI General Acute Care Hospital · Charlotte, NC

NPI 1295789907 · NPPES record last updated Sep 26, 2025

Key facts

NPI
1295789907
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
H0071 (NC)
Legal business name
CAROLINAS MEDICAL CENTER
Practice address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone
(704) 355-2000
NPI assigned
May 19, 2006
Organization subpart
No

Authorized official

Name
Mr. Anthony C Defurio
Title
Evp/Cfo
Phone
(704) 355-3304

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 95

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 95

Practitioners 1,105

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

View all 1,105

Affiliated clinicians 4,054

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 4,054

Medicare Care Compare: Hospital

Listed as
Carolinas Medical Center/Behav Health CCN 340113
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Carolinas Medical Center CCN 34T113
Ownership
Government
Certified
Jan 1, 2022

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in NC

Hospital certification: CCN 340113

Legal name
CAROLINAS MEDICAL CENTER
Doing business as
CAROLINAS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 4, 2011
Beds
843
Ownership / control type
Hospital district or authority
Organization structure
Other · Non-profit
Incorporated
Jun 26, 1943 in NC
Enrollment address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation, Psychiatric unit, Rehabilitation unit

Hospital certification: CCN 34T113

Legal name
CAROLINAS MEDICAL CENTER
Doing business as
LEVINE CHILDREN'S HOSPITAL PEDIATRICS
Organization structure
Other · Non-profit
Incorporated
Jun 26, 1943 in NC
Enrollment address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Hospital Rehabilitation Unit
Hospital subgroups
General, Rehabilitation

All disclosed owners & managing parties 36

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary B Gragg
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Callie F Dobbins
Individual 		W-2 Managing Employee
VP - Facility Executive		 Jan 1, 2020
Luther Amos Lockwood
Individual 		Corporate Director
Board Member		 Jan 1, 2025
David a Danzie
Individual 		Corporate Director
Board Member		 Jan 1, 2020
William C Cannon
Individual 		Corporate Director
Vice Chairman - Boc		 Jul 1, 2007
Theresa Marie Payton
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Angelique R Vincent-Hamacher
Individual 		Corporate Director
Chairman - Boc		 Jan 1, 2014
Mark E Reed
Individual 		Corporate Director
Vice Chairman & Secretary Boc		 Jan 1, 2020
Brett J Denton
Individual 		Corporate Officer
Assistant Secretary		 Jan 1, 2025
Corporate Officer
Assistant Secretary		 Jan 1, 2020
Charles F Bowman
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Rodney E Ball
Individual 		W-2 Managing Employee
Administrator		 Jan 3, 2019
Corporate Officer
Assistant Treasurer		 Feb 11, 2026
Kenneth F Davis
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Adrienne S H Purdue
Individual 		Corporate Director
Board Member		 Jan 1, 2020
The Charlotte-Mecklenburg Hospital Authority
Organization · Charlotte, NC 		5% Or Greater Direct Ownership Interest Nov 7, 2007
Operational/Managerial Control Nov 7, 2007
Luther Kissam
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Saju D Joy
Individual 		W-2 Managing Employee
VP & Chief Medical Officer Cent Mar		 Jan 1, 2020
Swati V Daji
Individual 		Corporate Director
Board Member		 Jan 1, 2020
Kenneth D Haynes
Individual 		Corporate Director
President		 Jan 1, 2023
Felicia H Allen
Individual 		Corporate Director
Board Member		 Jan 1, 2020
The Charlotte-Mecklenburg Hospital Authority
Organization · Charlotte, NC
Corporation, Non-profit 		5% Or Greater Direct Ownership Interest Nov 7, 2007
Operational/Managerial Control Nov 7, 2007
Amanda S Houser
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Marshall Carlson
Individual 		Corporate Director
Board Member		 Feb 11, 2016
Bradley Allen Clark
Individual 		Corporate Officer
Chief Financial Officer		 Aug 14, 2023
Nancy J Gritter
Individual 		Corporate Director
Board Member		 Feb 3, 2017
Hal a Levinson
Individual 		Corporate Director
Board Member		 Feb 11, 2016
Atrium Health Inc
Organization · Charlotte, NC
Corporation, Non-profit 		Operational/Managerial Control Oct 9, 2020
Advocate Health Inc
Organization · Charlotte, NC
Corporation, Non-profit 		Operational/Managerial Control Dec 2, 2022
Vicki J Block
Individual 		W-2 Managing Employee
SVP - Market President Central MKT		 Apr 1, 2019
W-2 Managing Employee
SVP Market President Central Market		 Apr 1, 2019
Michael D Rucker
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Todd Jamal Collins
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Richard T Williams
Individual 		Corporate Director
Board Member		 Jan 28, 2015
William T Niblock
Individual 		Corporate Director
Board Member		 Jan 1, 2013
Steven Smoot
Individual 		Corporate Officer
President		 Jun 2, 2025
Carl J. Herring
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Lucia Zapata Griffith
Individual 		Corporate Director
Board Member		 Jan 1, 2025
Corporate Director
Board Director		 Jan 1, 2025
Douglas Roush
Individual 		W-2 Managing Employee
VP - Facility Executive		 Jan 31, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031110000116 NC Part B Supplier - Clinic/Group Practice 4789597477 Receives reassigned benefits from 2,635 practitioners
30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20051026000200 NC Part a Provider - Hospital 4789597477 5 other NPIs on this enrollment
O20100326000121 NC Part a Provider - Hospital 4789597477 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, NC
O20230517003515 NC Part B Supplier - Intensive Cardiac Rehabilitation 4789597477 Practice locations: Charlotte, NC

National Provider Directory

Locations (25 of 26)

945 N 5th St
#B
Albemarle, NC 28001
Phone (704) 323-7790

1225 Harding Pl
Ste 4200
Charlotte, NC 28204
Phone (704) 446-1900

1025 Morehead Medical Dr
Ste 5005
Charlotte, NC 28204

5435 Prosperity Church Rd
Charlotte, NC 28269
Phone (704) 863-9930

1025 Morehead Medical Dr
#275A
Charlotte, NC 28204

1310 E Morehead St
Rm 1000B
Charlotte, NC 28204
Phone (980) 442-3400

1227 Harding PL Ste 3100
Charlotte, NC 28204

1021 Morehead Medical Dr
Ste 610
Charlotte, NC 28204

1021 Morehead Medical Dr
Ste 50200
Charlotte, NC 28204
Phone (980) 442-6410

1025 Morehead Medical Dr
Fl 5
Charlotte, NC 28204

1628 E Morehead St
Charlotte, NC 28207
Phone (704) 446-5881

4009 Craig Ave
Charlotte, NC 28211
Phone (704) 265-2620

7825 Ballantyne Commons Pkwy
Ste 110
Charlotte, NC 28277
Phone (704) 446-0391

928 Baxter St
Charlotte, NC 28204
Phone (704) 348-2950

1100 Eastway Dr
Charlotte, NC 28205

1225 Harding Pl
Ste 1100
Charlotte, NC 28204
Phone (704) 468-3400

1021 Morehead Medical Dr
Ste 70100
Charlotte, NC 28204
Phone (980) 442-2504

3621 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 332-9365

1025 Morehead Medical Dr
Ste 100
Charlotte, NC 28204
Phone (704) 326-1945

1901 South Blvd
Charlotte, NC 28203

200 Medical Park Dr
Ste 200
Concord, NC 28025
Phone (704) 403-1370

16740 Davidson Concord Rd
Ste 20
Davidson, NC 28036

2550 Court Dr
Gastonia, NC 28054
Phone (252) 773-0195

332 N Trade St
#1200
Matthews, NC 28105
Phone (704) 667-4120

11 Gateway Corners Park
Columbia, SC 29203
Phone (803) 462-2300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0071 NC Yes

Addresses

Primary practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Mailing address

PO Box 32861
Charlotte, NC 28232-2861

Other practice location 1

901 East Blvd
Charlotte, NC 28203-5203
Phone (704) 355-2760

Other practice location 2

1025 Morehead Medical Dr Ste 300
Charlotte, NC 28204-2966
Phone (704) 355-4593

Other practice location 3

1801 Rozzelles Ferry Rd
Charlotte, NC 28208-4228
Phone (704) 446-9987

Other practice location 4

1000 Blythe Blvd Bldg 2nd
Charlotte, NC 28203-5812
Phone (704) 355-2165

Other practice location 5

1025 Morehead Medical Dr Ste 500
Charlotte, NC 28204-2968
Phone (704) 335-3149

Other practice location 6

1025 Morehead Medical Dr Ste 225
Charlotte, NC 28204-2974
Phone (704) 355-7150

Other practice location 7

1025 Morehead Medical Dr Ste 600
Charlotte, NC 28204-2969
Phone (704) 355-6649

Other practice location 8

16455 Statesville Rd Ste 280
Huntersville, NC 28078-7134
Phone (980) 442-4600

Other practice location 9

4525 Cameron Valley Pkwy Ste 3500
Charlotte, NC 28211-4389
Phone (704) 442-2000

Other practice location 10

1021 Morehead Medical Dr Ste 50200
Charlotte, NC 28204-2990
Phone (980) 442-6410

Other practice location 11

15830 Ballantyne Medical Pl Ste 200
Charlotte, NC 28277-0761
Phone (980) 442-9600

Other practice location 12

945B N 5th St
Albemarle, NC 28001-3417
Phone (704) 323-7790

Other practice location 13

1021 Morehead Medical Dr Ste 5300
Charlotte, NC 28204-2993
Phone (980) 442-4363

Other practice location 14

100 Medical Park Dr Ste 110
Concord, NC 28025-2966
Phone (704) 403-1370

Other practice location 15

1025 Morehead Medical Dr Ste 100
Charlotte, NC 28204-2964
Phone (704) 446-5200

Other practice location 16

1601 Abbey Pl Ste 100
Charlotte, NC 28209-3836
Phone (704) 512-5370

Other practice location 17

251 Eastway Dr
Charlotte, NC 28213-7103
Phone (704) 446-9991

Other practice location 18

1001 Blythe Blvd Ste 100
Charlotte, NC 28203-5866
Phone (704) 355-1660

Other practice location 19

201 E Grover St Rm 1134
Shelby, NC 28150-3917
Phone (980) 487-2600

Other practice location 20

6965 Fairview Rd
Charlotte, NC 28210-6965
Phone (704) 631-1300

Other practice location 21

1310 E Morehead St Rm 1000B
Charlotte, NC 28204-2914
Phone (980) 442-3400

Other practice location 22

1021 Morehead Medical Dr Ste 70100
Charlotte, NC 28204-2990
Phone (980) 442-2500

Other practice location 23

10660 Park Rd Ste 2100
Charlotte, NC 28210-8420
Phone (980) 442-0410

Other practice location 24

1225 Harding Pl Ste 1100
Charlotte, NC 28204-2826
Phone (704) 512-5370

Other practice location 25

1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone (704) 446-1900

Other practice location 26

1225 Harding Pl Ste 4200
Charlotte, NC 28204-2826
Phone (704) 446-1900

Other practice location 27

447 McAlister Rd Ste 1500
Lincolnton, NC 28092-4132
Phone (980) 212-2000

Other practice location 28

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-4490

Other practice location 29

200 Medical Park Dr Ste 200
Concord, NC 28025-0900
Phone (704) 403-1370

Other practice location 30

447 McAlister Rd Ste 1600
Lincolnton, NC 28092-4133
Phone (980) 212-2000

Other practice location 31

1001 Blythe Blvd Ste 601
Charlotte, NC 28203-6107
Phone (704) 381-9900

Other practice location 32

1001 Blythe Blvd Ste 200
Charlotte, NC 28203-5865
Phone (704) 381-8840

Other practice location 33

3621 Randolph Rd Ste 100
Charlotte, NC 28211-0027
Phone (704) 512-3056

Other practice location 34

1550 Faulk St Ste 1500
Monroe, NC 28112-5088
Phone (980) 442-0430

Other practice location 35

1100 Healing Way Ste 31
Matthews, NC 28104-5159
Phone (980) 442-9385

Other practice location 36

10660 Park Rd Ste 1100A
Charlotte, NC 28210-8420
Phone (980) 442-0140

Other practice location 37

3541 Randolph Rd Ste 206
Charlotte, NC 28211-1253
Phone (704) 381-8336

Other practice location 38

2001 Vail Ave Ste 400
Charlotte, NC 28207-1222
Phone (704) 304-7000

Other practice location 39

101 E Wt Harris Blvd Ste 5500
Charlotte, NC 28262-3485
Phone (704) 381-8840

Other practice location 40

10660 Park Rd Ste 2100
Charlotte, NC 28210-8420
Phone (980) 442-0410

Other practice location 41

1437 Scott Ave
Charlotte, NC 28203-5843
Phone (704) 446-5860

Other identifiers

IdentifierTypeStateIssuer
235027OtherNCMEDICARE - OUTPATIENT -CMC HOSP
235027XXOtherNCMEDICARE - OUTPATIENT -PSYCH
8000240 (CRNA)MedicaidNC
3400113MedicaidNC
890161H (PROFEE)MedicaidNC

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Charlotte, NC

All providers in Charlotte, NC · General Acute Care Hospital in North Carolina

Sources for this page

Verify at the official NPI Registry.