Active NPI
Amy Fletcher, M.D.
- Gynecology Physician
- Charlotte, NC
National Provider Identifier
1497717318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 73529
- Practice address
- 6401 Morrison Blvd
Suite 2a
Charlotte, NC 28211-3800 - Phone
- (704) 390-7150
- NPI assigned
- Apr 5, 2006
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 73529 | NC | Primary |
Addresses
Primary practice location
6401 Morrison Blvd
Suite 2a
Charlotte, NC 28211-3800
Mailing address
6401 Morrison Blvd
Suite 2a
Charlotte, NC 28211-3800
Phone (704) 390-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89126PY | Medicaid | NC |
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
- Opted out of Medicare
- Yes, effective Oct 1, 2018 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73529 | NC | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Personalized Healthcare and Wellness | Gynecology | Past | Accepting new patients |
| Thrive Gynecology PLLC | Gynecology | Past | Accepting new patients |
Interoperability endpoints
- amy.fletcher.1@31436.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Gynecology Physician
- Charlotte, NC
- NPI 1881131167
Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1497717318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 MORRISON BLVD",
"address_2": "SUITE 2A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282113800",
"telephone_number": "704-390-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 MORRISON BLVD",
"address_2": "SUITE 2A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282113800",
"telephone_number": "704-390-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "73529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89126PY",
"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 Jan 25, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.