Charles William Hartin Jr., M.D.
Individual provider Active NPI Pediatric Surgery Physician · Mobile, AL
NPI 1497829337 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1497829337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Surgery Physician 2086S0120X
- License
- 32972 (AL)
- Practice address
- 1720 Center St
Mobile, AL 36604-3304 - Phone
- (251) 415-1475
- Fax
- (251) 415-1476
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
PO Box
Charlotte, NC 28260
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, FL, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160822002682 | AL | Practitioner - General Surgery | 4880886118 | Reassigns benefits to 2 organizations |
| I20251014004090 | FL | Practitioner - General Surgery | 4880886118 | Reassigns benefits to 1 organization |
| I20251029000726 | NC | Practitioner - Pediatric Medicine | 4880886118 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36023 | SC | MD | Pharmacist |
| 32972 | AL | MD | Pediatric Surgery Physician |
| 2025-03077 | NC | MD | Pediatric Surgery Physician |
| P8248 | TX | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| University of South Alabama | Current |
Accepting new patients | |
| USA Health - Mci Business Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| University of South Alabama | Current |
Accepting new patients | |
| The Nemours Foundation | Current |
Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Pediatric Surgery | Current |
Accepting new patients |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current |
Accepting new patients | |
| The Nemours Foundation | Current |
Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| University of South Alabama | Past | Accepting new patients |
Locations
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
1720 Center St
Mobile, AL 36604
Phone (251) 410-4764
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
1720 Center St
Ste 103
Mobile, AL 36604
Phone (251) 415-1475
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
5153 N 9th Ave
Pensacola, FL 32504
Phone (850) 416-1575
8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700
330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350
1718 E 4th St
Ste 807
Charlotte, NC 28204
Phone (704) 375-5755
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- charles.hartin@direct.myhealthep.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | P8248 | TX | |
| Pediatric Surgery Physician | 2086S0120X | 36023 | SC | |
| Pediatric Surgery Physician | 2086S0120X | 2025-03077 | NC | |
| Pediatric Surgery Physician | 2086S0120X | 32972 | AL | Yes |
Addresses
Primary practice location
1720 Center St
Mobile, AL 36604-3304
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 415-1475
Other practice location 1
1718 E 4th St Ste 807
Charlotte, NC 28204-3280
Phone (980) 488-9630
Other providers in Mobile, AL
- Geoffrey R Hart
- Heather Renee Hart
- Melanie Ashlyn Hart
- Nekyra Hart
- Shamora Alexandria Hart
- Erin E Hartley
- George Westley Hartley
- Taryn S Hartley
- Catherine Spotswood Hartman
- Megan Elizabeth Hartman
All providers in Mobile, AL · Pediatric Surgery Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.