Individual provider Active NPI

Albis Acosta, MD

  • Neurological Surgery Physician
  • Shelby, NC
National Provider Identifier
1407842073
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
9600435 Issued in NC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922001037 NC Practitioner - Neurology 5193793511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9600435NCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 1, 2019 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.