Individual provider Active NPI

Charlton N Owensby, MD

  • Occupational Medicine Physician
  • Salisbury, NC
National Provider Identifier
1386628923
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
29362 Issued in NC
Practice address
812 W Innes St
Salisbury, NC 28144-4152
Phone
(704) 637-8040
Fax
(704) 637-9980
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 29362 NC
Occupational Medicine Physician 2083X0100X 29362 NC Primary

Addresses

Primary practice location

812 W Innes St
Salisbury, NC 28144-4152

Mailing address

3700 Moorland Dr
Charlotte, NC 28226-1119

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
I20141226000354 NC Practitioner - General Practice 2567785595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Wake Forest University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promed Healthcare PLLCGroup PAC ID 0749366607, 6 clinicians

Practice addresses (Care Compare)

7004 Smith Corners Blvd
Suite a
Charlotte, NC 28269-3827
Phone (704) 688-9650

7004 Smith Corners Blvd a
Charlotte, NC 28269-3827

812 W Innes St
Salisbury, NC 28144-4152
Phone (704) 637-8040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29362NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LMS Medical Services PLLC Current Accepting new patients
Promed Healthcare, PLLC CurrentSince Oct 4, 2014 Accepting new patients
Promed Healthcare, PLLC Current Accepting new patients

Locations

7004 Smith Corners Blvd
Ste A
Charlotte, NC 28269
Phone (704) 688-9650

812 W Innes St
Salisbury, NC 28144
Phone (704) 637-5544

Interoperability endpoints

  • Direct secure messaging: charlton.owensby.1@22472.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22472/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1386628923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 MOORLAND DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444152",
            "telephone_number": "704-637-8040",
            "fax_number": "704-637-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENSBY",
        "first_name": "CHARLTON",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "29362",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NC",
            "license": "29362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.