NPIMap

Organization Active NPI

Synergy, PLLC

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1376850206
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4119 Issued in NC
Legal business name
SYNERGY, PLLC
Practice address
309 S Sharon Amity Rd
Suite 302
Charlotte, NC 28211-2978
Phone
(704) 326-1088
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Nicole Marcelle Fodel, D.C.NPI 1700194412
Title
Owner
Phone
(704) 641-2367

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4119 NC Primary

Addresses

Primary practice location

309 S Sharon Amity Rd
Suite 302
Charlotte, NC 28211-2978

Mailing address

309 S Sharon Amity Rd
Suite 302
Charlotte, NC 28211-2978
Phone (704) 326-1088

Other names 1

  • Synergy Chiropractic & Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

309 S Sharon Amity Rd
Ste 302
Charlotte, NC 28211
Phone (704) 326-1088

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1376850206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD",
            "address_2": "SUITE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112978",
            "telephone_number": "704-326-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD",
            "address_2": "SUITE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112978",
            "telephone_number": "704-326-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "FODEL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARCELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-641-2367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "4119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.