NPIMap

Organization Active NPI

Carolinas Medical Center

Doing business as Atrium Health Mercy

  • General Acute Care Hospital
  • Charlotte, NC
National Provider Identifier
1376985135
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0071 Issued in NC
Legal business name
CAROLINAS MEDICAL CENTER
Doing business as
Atrium Health Mercy
Practice address
2001 Vail Ave
Charlotte, NC 28207-1219
Phone
(704) 379-5000
Fax
(704) 379-5695
NPI assigned
Jul 22, 2013
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

2001 Vail Ave
Charlotte, NC 28207-1219

Mailing address

PO Box 32861
Charlotte, NC 28232-2861

Other identifiers 1

IdentifierTypeStateIssuer
3400113MedicaidNC

Other names 1

  • Atrium Health Mercy Doing business as

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000200 NC Part A Provider - Hospital 4789597477 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376985135. Details of each certification follow.

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
OtherNon-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

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Carolinas Medical Center/Behav HealthCCN 340113 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1026616Celligent Diagnostics - Atrium Health Mercy2001 Vail Avenue 3Rd Floor Lab, Charlotte, NC 28207ComplianceOct 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Mecical Ctr N69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3030 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 512-4450

Ownership & related parties

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 DirectorBoard Member Jan 1, 2020
Callie F Dobbins Individual W-2 Managing EmployeeVP - Facility Executive Jan 1, 2020
Luther Amos Lockwood Individual Corporate DirectorBoard Member Jan 1, 2025
David a Danzie Individual Corporate DirectorBoard Member Jan 1, 2020
William C Cannon Individual Corporate DirectorVice Chairman - Boc Jul 1, 2007
Theresa Marie Payton Individual Corporate DirectorBoard Member Jan 1, 2025
Angelique R Vincent-Hamacher Individual Corporate DirectorChairman - Boc Jan 1, 2014
Mark E Reed Individual Corporate DirectorVice Chairman & Secretary Boc Jan 1, 2020
Brett J Denton Individual Corporate OfficerAssistant Secretary Jan 1, 2025
Charles F Bowman Individual Corporate DirectorBoard Member Jan 1, 2020
Rodney E Ball Individual W-2 Managing EmployeeAdministrator Jan 3, 2019
Kenneth F Davis Individual Corporate DirectorBoard Member Jan 1, 2025
Adrienne S H Purdue Individual Corporate DirectorBoard 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 DirectorBoard Member Jan 1, 2025
Saju D Joy Individual W-2 Managing EmployeeVP & Chief Medical Officer Cent Mar Jan 1, 2020
Swati V Daji Individual Corporate DirectorBoard Member Jan 1, 2020
Kenneth D Haynes Individual Corporate DirectorPresident Jan 1, 2023
Felicia H Allen Individual Corporate DirectorBoard 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 DirectorBoard Member Jan 1, 2022
Marshall Carlson Individual Corporate DirectorBoard Member Feb 11, 2016
Bradley Allen Clark Individual Corporate OfficerChief Financial Officer Aug 14, 2023
Nancy J Gritter Individual Corporate DirectorBoard Member Feb 3, 2017
Hal a Levinson Individual Corporate DirectorBoard 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 EmployeeSVP - Market President Central MKT Apr 1, 2019
Michael D Rucker Individual Corporate DirectorBoard Member Jan 1, 2013
Todd Jamal Collins Individual Corporate DirectorBoard Member Jan 1, 2025
Richard T Williams Individual Corporate DirectorBoard Member Jan 28, 2015
William T Niblock Individual Corporate DirectorBoard Member Jan 1, 2013
Steven Smoot Individual Corporate OfficerPresident Jun 2, 2025
Carl J. Herring Individual Corporate DirectorBoard Member Jan 1, 2022
Lucia Zapata Griffith Individual Corporate DirectorBoard Member Jan 1, 2025
Douglas Roush Individual W-2 Managing EmployeeVP - Facility Executive Jan 31, 2011

Owners & managing parties with NPI records 13

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

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 4,054

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

View all 4,054

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1376985135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32861",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282322861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VAIL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071219",
            "telephone_number": "704-379-5000",
            "fax_number": "704-379-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "DEFURIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "704-355-3304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400113",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Mercy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.