Individual provider Active NPI

Emily Oxford McLean, M.D.

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1487049961
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2019-01468 Issued in NC
Practice address
6324 Fairview Rd Ste 200
Charlotte, NC 28210-3271
Phone
(980) 302-9700
Fax
(980) 302-9730
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 263846 MA
Dermatology Physician 207N00000X 2019-01468 NC Primary

Addresses

Primary practice location

6324 Fairview Rd Ste 200
Charlotte, NC 28210-3271

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-6020

Other practice location 1

725 Albany St
Boston, MA 02118-2526
Phone (617) 414-5951

Other practice location 2

1450 Matthews Township Pkwy Ste 170
Matthews, NC 28105
Phone (704) 384-6020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emclean754810@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Providence Rd
Suite 100
Charlotte, NC 28207-1247

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
84.38
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of tissue1-10
Removal of skin lesions518
Skin biopsy216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
263846MAMDDermatology Physician
2019-01468NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Skin & Laser, P.a. CurrentSince Sep 20, 2023 Accepting new patients

Locations

130 Providence Rd
Ste 100
Charlotte, NC 28207
Phone (704) 333-9113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1487049961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-6020",
            "fax_number": "704-384-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103271",
            "telephone_number": "980-302-9700",
            "fax_number": "980-302-9730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182526",
            "country_code": "US",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Matthews Township Pkwy Ste 170",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-384-6020",
            "fax_number": "704-384-6025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "EMILY",
        "middle_name": "OXFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "263846",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2019-01468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emclean754810@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "725 Albany St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021182526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.