Active NPI
Carefirst Medical Associates, PC
- Clinic/Center
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2009-00568
- Legal business name
- CAREFIRST MEDICAL ASSOCIATES, PC
- Practice address
- 2908 Oak Lake Blvd
Suite 205
Charlotte, NC 28208-7703 - Phone
- (704) 567-8233
- NPI assigned
- Aug 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Johnnie Lyles, M.D., M.B.A.
- Title
- Cmo
- Phone
- (704) 496-9032
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 2009-00568 | NC | Primary |
Addresses
Primary practice location
2908 Oak Lake Blvd
Suite 205
Charlotte, NC 28208-7703
Mailing address
2908 Oak Lake Blvd
Suite 205
Charlotte, NC 28208-7703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2104044 | Carefirst Medical Associates, PLLC | Certificate of waiver | Mar 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
2908 Oak Lake Blvd
Ste 205
Charlotte, NC 28208
Phone (704) 496-9032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Charlotte, NC
- NPI 1841491370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723161600000",
"number": "1447636790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 OAK LAKE BLVD",
"address_2": "SUITE 205",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282087703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 OAK LAKE BLVD",
"address_2": "SUITE 205",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282087703",
"telephone_number": "704-567-8233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREFIRST MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A",
"authorized_official_last_name": "LYLES",
"authorized_official_first_name": "JOHNNIE",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "704-496-9032",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., M.B.A."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NC",
"license": "2009-00568",
"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 Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.