Active NPI
Albis Acosta, MD
- Neurological Surgery Physician
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 9600435
- Practice address
- 202 E Grover St
Ste 1
Shelby, NC 28150-3977 - Phone
- (980) 487-2360
- NPI assigned
- Sep 20, 2005
- Last updated
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 9600435 | NC | Primary |
Addresses
Primary practice location
202 E Grover St
Ste 1
Shelby, NC 28150-3977
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1423 E Franklin St
Ste I
Monroe, NC 28112-5266
Phone (800) 230-1721
Other practice location 2
10660 Park Rd
Ste 4500
Charlotte, NC 28210-8413
Phone (704) 667-8800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9600435 | NC | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Mecklenburg Radiology Associates, P.a. | Past | Accepting new patients |
Locations
10660 Park Rd
Ste 4500
Charlotte, NC 28210
Phone (704) 667-8800
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
181 Daniel Rd
Forest City, NC 28043
Phone (828) 286-9036
1423 E Franklin St
Ste I
Monroe, NC 28112
Phone (704) 288-4650
202 E Grover St
Shelby, NC 28150
Phone (704) 482-7311
202 E Grover St
Ste 1
Shelby, NC 28150
Phone (980) 487-2360
Interoperability endpoints
- ambulatory@direct.carolinashealthcare.org
Organizations & group practices 4
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.
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medicine
- Sports Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1639425796
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1295790657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1407842073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E GROVER ST",
"address_2": "STE 1",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503977",
"telephone_number": "980-487-2360"
}
],
"practiceLocations": [
{
"address_1": "1423 E Franklin St",
"address_2": "STE I",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281125266",
"country_code": "US",
"telephone_number": "800-230-1721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10660 Park Rd",
"address_2": "Ste 4500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108413",
"country_code": "US",
"telephone_number": "704-667-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA",
"first_name": "ALBIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "9600435",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "202 E Grover St",
"address_2": "Ste 1",
"city": "Shelby",
"state": "NC",
"country_code": "US",
"postal_code": "281503977",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.