Individual provider Active NPI

Thierry Mitchel Mallet, M.D.

  • Hospitalist Physician
  • Charlotte, NC
National Provider Identifier
1376881904
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2014-00982 Issued in NC
Practice address
8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072
Phone
(980) 302-3050
Fax
(980) 302-3055
NPI assigned
Jan 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014-00982 NC
Hospitalist Physician 208M00000X 2014-00982 NC Primary

Addresses

Primary practice location

8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-3050

Other practice location 1

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-9740

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
I20140908001838 NC Practitioner - HospitalistPractitioner - Internal Medicine 5799904603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Lake Norman Inpatient SpecialistsGroup PAC ID 7315241338, 12 clinicians

Practice addresses (Care Compare)

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40906SCMDRegistered Nurse
2014-00982NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Hospitalist CurrentSince Oct 1, 2022 Accepting new patients
Apogee Medical Group North Carolina Hospitalist CurrentSince Jul 1, 2014 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Lake Norman Inpatient Specialists Hospitalist CurrentSince Dec 10, 2018 Accepting new patients

Locations

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

171 Fairview Rd
Mooresville, NC 28117
Phone (704) 660-4000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: tmallet664458@direct.medicine.duke.edu
  • Direct secure messaging: tmallet1081123@direct.novanthealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1376881904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "980-302-3050",
            "fax_number": "980-302-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HEALTHCARE LOOP STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157072",
            "telephone_number": "980-302-3050",
            "fax_number": "980-302-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Matthews Township Pkwy",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281054656",
            "country_code": "US",
            "telephone_number": "704-384-9740",
            "fax_number": "704-384-9565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLET",
        "first_name": "THIERRY",
        "middle_name": "MITCHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-00982",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2014-00982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.