NPIMap

Organization Active NPI

Superior Health Medical, PLLC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1407595085
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUPERIOR HEALTH MEDICAL, PLLC
Practice address
8322 Pineville Matthews Rd Ste 602
Charlotte, NC 28226-4823
Phone
(704) 389-9040
Fax
(704) 396-8388
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dr. Lisette Maria Akers, MDNPI 1972714988
Title
Ceo/Manager
Phone
(980) 322-9742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8322 Pineville Matthews Rd Ste 602
Charlotte, NC 28226-4823

Mailing address

8022 Providence Rd Unit 500-165
Charlotte, NC 28277-9719
Phone (980) 322-9742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220816002592 NC Part B Supplier - Clinic/Group Practice 2961885454 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory
Tax ID family
Superior Health Medical PLL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26518/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1407595085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 PROVIDENCE RD UNIT 500-165",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779719",
            "telephone_number": "980-322-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 PINEVILLE MATTHEWS RD STE 602",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264823",
            "telephone_number": "704-389-9040",
            "fax_number": "704-396-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "980-322-9742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.