Active NPI
Taylor White Sandberg, MD
- Family Medicine Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021-01569
- Practice address
- 150 Professional Park Dr
Ste 400
Mooresville, NC 28117-5603 - Phone
- (704) 801-7360
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021-01569 | NC | Primary |
Addresses
Primary practice location
150 Professional Park Dr
Ste 400
Mooresville, NC 28117-5603
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1900 Scott Ave
Ste 200
Charlotte, NC 28203-6046
Phone (704) 381-0260
Other practice location 2
13620 Reese Blvd E
Huntersville, NC 28078-6417
Phone (704) 801-7340
Other practice location 3
10226 Couloak Dr
Ste 100
Charlotte, NC 28216-7675
Phone (704) 801-7380
Other practice location 4
9611 Sherrill Estates Rd
Ste B
Huntersville, NC 28078-6485
Phone (704) 801-1150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Brody School of Medicine at East Carolina University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16645 Birkdale Commons Pkwy
Suite 100
Huntersville, NC 28078-5669
Phone (704) 801-7390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-01569 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrium Health North Market Network LLC | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
Locations
1900 Scott Ave
Ste 200
Charlotte, NC 28203
Phone (704) 381-0260
4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310
10226 Couloak Dr
Ste 100
Charlotte, NC 28216
Phone (704) 801-7380
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
9611 Sherrill Estates Rd
Ste B
Huntersville, NC 28078
Phone (704) 801-1150
13620 Reese Blvd E
Huntersville, NC 28078
Phone (704) 801-7330
16645 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078
Phone (704) 801-7390
150 Professional Park Dr
Ste 400
Mooresville, NC 28117
Phone (704) 801-7350
Interoperability endpoints
- tsandberg414900@carolinashealthcaresystem.direct-ci.com
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 and National Provider Directory roles.
-
dba Atrium Health Primary Care One Health Family Medicine
- Family Medicine Physician
- Mooresville, NC
- NPI 1871112920
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Community Care Primary Care Museum Family Medicine
- Family Medicine Physician
- Gastonia, NC
- NPI 1477173292
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1467957589",
"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": "150 PROFESSIONAL PARK DR",
"address_2": "STE 400",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175603",
"telephone_number": "704-801-7360"
}
],
"practiceLocations": [
{
"address_1": "1900 Scott Ave",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282036046",
"country_code": "US",
"telephone_number": "704-381-0260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13620 Reese Blvd E",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280786417",
"country_code": "US",
"telephone_number": "704-801-7340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10226 Couloak Dr",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282167675",
"country_code": "US",
"telephone_number": "704-801-7380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9611 Sherrill Estates Rd",
"address_2": "Ste B",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280786485",
"country_code": "US",
"telephone_number": "704-801-1150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDBERG",
"first_name": "TAYLOR",
"middle_name": "WHITE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2021-01569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.