Individual provider Active NPI

Richard S Schaffer Jr., M.D.

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1407049117
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26568 Issued in SC
Practice address
309 S Sharon Amity Rd Ste 302
Charlotte, NC 28211-2976
Phone
(704) 360-3057
NPI assigned
Aug 26, 2007
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26568 SC Primary

Addresses

Primary practice location

309 S Sharon Amity Rd Ste 302
Charlotte, NC 28211-2976

Mailing address

309 S Sharon Amity Rd Ste 302
Charlotte, NC 28211-2976
Phone (704) 360-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26568SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Wellness Center Current Accepting new patients
MD Wellness and Weight Management, PLLC Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients
Physical Medicine of the Carolina's Family Medicine Past Accepting new patients
Physical Medicine of the Carolina's Past Accepting new patients
Advanced Medical Associates of Beaufort, PC Past Accepting new patients

Locations

1698 Highway 160 W
Ste 200
Fort Mill, SC 29708
Phone (803) 547-4343

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1407049117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD STE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112976",
            "telephone_number": "704-360-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD STE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112976",
            "telephone_number": "704-360-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-26",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.