Active NPI
Charles Arthur Hill III, M.D.
- Surgery Physician
- Charlotte, NC
National Provider Identifier
1407039845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2014-00941
- Practice address
- 325 Hawthorne LN Ste 100
Charlotte, NC 28204 - Phone
- (704) 316-7760
- Fax
- (704) 316-7761
- NPI assigned
- Dec 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 141614 | NC | |
| Surgery Physician | 208600000X | 2014-00941 | NC | Primary |
Addresses
Primary practice location
325 Hawthorne LN Ste 100
Charlotte, NC 28204
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-7760
Other practice location 1
10512 Park Rd Ste 101
Charlotte, NC 28210-8473
Phone (704) 542-3631
Other practice location 2
10512 Park Rd Ste 101
Charlotte, NC 28210-8473
Phone (704) 542-3631
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407039845 | Other | NPI | |
| 2014-00941 | Other | NC | STATE MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chill159131@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141614 | NC | MD | Surgery Physician |
Interoperability endpoints
- chill159131@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1407039845",
"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": "704-316-7760",
"fax_number": "704-316-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 HAWTHORNE LN STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28204",
"telephone_number": "704-316-7760",
"fax_number": "704-316-7761"
}
],
"practiceLocations": [
{
"address_1": "10512 Park Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108473",
"country_code": "US",
"telephone_number": "704-542-3631",
"fax_number": "704-542-9601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10512 Park Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108473",
"country_code": "US",
"telephone_number": "704-542-3631",
"fax_number": "704-542-9601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "CHARLES",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-07",
"last_updated": "2020-10-25",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "141614",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2014-00941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1407039845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "2014-00941",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chill159131@direct.novanthealth.org",
"affiliation": "N",
"address_1": "10512 Park Rd Ste 101",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282108473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.