NPIMap

Organization Active NPI

Tryon Medical Partners, PLLC

Doing business as Tryon Diabetes Prevention Program

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1497510184
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
TRYON MEDICAL PARTNERS, PLLC
Doing business as
Tryon Diabetes Prevention Program
Practice address
6060 Piedmont Row Dr S FL 6
Charlotte, NC 28287-3884
Phone
(704) 489-3094
NPI assigned
Feb 21, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TRYON MEDICAL PARTNERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Jordan Archer, MHA
Title
Chief Operating Officier
Phone
(704) 259-4623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X

Addresses

Primary practice location

6060 Piedmont Row Dr S FL 6
Charlotte, NC 28287-3884

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 918-1934

Other names 1

  • Tryon Diabetes Prevention Program Doing business as

National Provider Directory

National Provider Directory
Part of
Tryon Medical Partners PLLC

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17847/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1497510184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-918-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S FL 6",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873884",
            "telephone_number": "704-489-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRYON MEDICAL PARTNERS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRYON MEDICAL PARTNERS, PLLC",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICIER",
        "authorized_official_telephone_number": "704-259-4623",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tryon Diabetes Prevention Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tryon Diabetes Prevention Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.