Carly Applebaum

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1405 Fern Creek Dr
Statesville, NC 28625-9376

Phone

(704) 659-7866

Fax

(877) 881-8455

NPI assigned

May 18, 2026

Last updated

May 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southern Oncology Specialists, PLLC

  • Hematology & Oncology Physician
  • Huntersville, NC
  • NPI 1336455674
  NPD
• Southern Oncology Specialists, PLLC

  • Specialty Pharmacy
  • Huntersville, NC
  • NPI 1558879965
  NPD

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1306775911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 PANOLA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-659-7866",
            "fax_number": "877-881-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Kincey Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786541",
            "country_code": "US",
            "telephone_number": "704-947-5005",
            "fax_number": "877-881-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPLEBAUM",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Anderson, PA-C
• Lorraine Angel, CRNA
• Ariel Jaleigh Ansley, MD, MPH
• Brandi Hamilton Anthony, LCSW
• Temesan Dinah Anukwuem, FNP-C
• Jessica Arcidiacono
• Robert Adjamah Aryeetey, MD
• Athelite Physical Performance Center of Lake Norman, LLC (AthElite PPC)
• Tisha Augustus-Tolbert, RN, BSN
• Kathryn Aultman, COTA/L

• Physician Assistant in Statesville, NC
• Providers in Statesville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.