Individual provider Active NPI

Charles Edmondson Lott, P.A.-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1407846777
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103799 Issued in NC
Practice address
4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476
Phone
(828) 258-0397
NPI assigned
Oct 26, 2005
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103799 NC Primary

Addresses

Primary practice location

4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476

Mailing address

4 Vanderbilt Park Dr Ste 100
Asheville, NC 28803-2476
Phone (828) 258-0397

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031121000485 NC Practitioner - Physician Assistant 5698679645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Mercy Urgent Care IncGroup PAC ID 5496709305, 46 clinicians

Practice addresses (Care Compare)

1201 Patton Ave
Asheville, NC 28806-2707
Phone (828) 252-4878

1272 Tunnel Rd
Suite 10
Asheville, NC 28805-2100
Phone (828) 210-8325

61 Weaver Blvd
Suite 105
Weaverville, NC 28787-9804
Phone (828) 645-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Mercy Urgent Care Inc CurrentSince Jun 3, 2024 Accepting new patients
Waynesville Family Practice Center PA Current Accepting new patients
Sisters of Mercy Urgent Care Inc CurrentSince Jun 3, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 1, 2014 Accepting new patients

Locations

1201 Patton Ave
Asheville, NC 28806
Phone (828) 252-4878

100 Silver Bluff Dr
Canton, NC 28716
Phone (828) 452-0331

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

1272 East St
Waynesville, NC 28786
Phone (828) 456-3511

360 Old Balsam Rd
Waynesville, NC 28786
Phone (828) 456-7381

Interoperability endpoints

  • Direct secure messaging: charles.lott.1@29997.direct.athenahealth.com

Organizations & group practices 5

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1407846777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032476",
            "telephone_number": "828-258-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DR STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032476",
            "telephone_number": "828-258-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "CHARLES",
        "middle_name": "EDMONDSON",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.