Organization Active NPI

Rosedale Health & Wellness

  • Infectious Disease Physician
  • Huntersville, NC
National Provider Identifier
1407937972
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
ROSEDALE HEALTH & WELLNESS
Practice address
103 Commmerce Centre Drive
Suite 103
Huntersville, NC 28078
Phone
(704) 948-8582
Fax
(704) 948-8582
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Roseanne Sanders
Title
Practice Manager
Phone
(704) 948-8582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

103 Commmerce Centre Drive
Suite 103
Huntersville, NC 28078

Mailing address

103 Commerce Centre Dr
Suite 103
Huntersville, NC 28078-5869
Phone (704) 948-8582

Other names 1

  • Rosedale Infectious Diseases Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000304 NC Part B Supplier - Clinic/Group Practice 8820183346 Receives reassigned benefits from 4 practitioners
Practice locations: Huntersville, NC

National Provider Directory

National Provider Directory

Locations

103 Commerce Centre Dr
Huntersville, NC 28078
Phone (704) 947-2971

103 Commerce Centre Dr
Ste 300
Huntersville, NC 28078

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1123/brand/1/csg/1/fhir/r4

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1407937972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COMMERCE CENTRE DR",
            "address_2": "SUITE 103",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785869",
            "telephone_number": "704-948-8582",
            "fax_number": "704-948-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMMERCE CENTRE DRIVE",
            "address_2": "SUITE 103",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "28078",
            "telephone_number": "704-948-8582",
            "fax_number": "704-948-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "704-948-8582"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosedale Infectious Diseases",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.