NPIMap

Organization Active NPI

Carolina Oncology Specialist PA

  • Hematology & Oncology Physician
  • Charlotte, NC
National Provider Identifier
1467406736
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CAROLINA ONCOLOGY SPECIALIST PA
Practice address
2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027
Phone
(704) 342-1900
Fax
(704) 342-9579
NPI assigned
May 20, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Joshua Sutton
Title
Pharmacist
Phone
(704) 342-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027

Mailing address

2711 Randolph Rd Ste 400
Suite 400
Charlotte, NC 28207-2027
Phone (704) 342-1900

Other practice location 1

127 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6600
Phone (704) 342-1900

Other practice location 2

10635 Park Rd Ste F
Charlotte, NC 28210-8408
Phone (704) 342-1900

Other identifiers 3

IdentifierTypeStateIssuer
CH1821OtherRR MEDICARE
8902257MedicaidNC
02257OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060804000068 NC Part B Supplier - Clinic/Group Practice 9931112224 Receives reassigned benefits from 9 practitioners
Practice locations: Charlotte, NC
O20240722000859 SC Part B Supplier - Clinic/Group Practice 9931112224 Receives reassigned benefits from 6 practitioners
Practice locations: Fort Mill, SC

National Provider Directory

National Provider Directory

Locations

2711 Randolph Rd
Ste 100
Charlotte, NC 28207
Phone (704) 342-1900

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1467406736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 400",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-342-1900",
            "fax_number": "704-342-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-342-1900",
            "fax_number": "704-342-9579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Ben Casey Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086600",
            "country_code": "US",
            "telephone_number": "704-342-1900",
            "fax_number": "704-342-9579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10635 Park Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108408",
            "country_code": "US",
            "telephone_number": "704-342-1900",
            "fax_number": "704-342-9579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA ONCOLOGY SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "704-342-1900"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH1821",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902257",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "02257",
            "state": "NC"
        }
    ],
    "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 Jul 16, 2026; 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.