Individual provider Active NPI

Amy Sue Charlesworth, M.D.

  • Family Medicine Physician
  • Newport, NC
National Provider Identifier
1497868954
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200400309 Issued in NC
Practice address
135 Soundview Dr
Newport, NC 28570-5041
Phone
(252) 725-9555
Fax
(252) 565-0545
NPI assigned
Aug 17, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200400309 NC Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 200400309 NC

Addresses

Primary practice location

135 Soundview Dr
Newport, NC 28570-5041

Mailing address

135 Soundview Dr
Newport, NC 28570-5041
Phone (252) 725-9555

Other identifiers 1

IdentifierTypeStateIssuer
5902419MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000381 NC Practitioner - Family PracticePractitioner - Geriatric Medicine 9032138664 Reassigns benefits to 2 organizations
Practice locations: Morehead City, NC; Newport, NC

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Medical Group LLCGroup PAC ID 5698947794, shared by 2 NPIs, 65 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

1165 Cedar Point Blvd
Cedar Point, NC 28584-1030

338 Howard Blvd
Newport, NC 28570-7928
Phone (252) 499-8500

5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21818SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret Foot & Ankle Specialist, PC Past Accepting new patients
Southern Assisted Living, LLC. PastSince Apr 11, 2021 Accepting new patients
Century Care of the Crystal Coast, Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1497868954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SOUNDVIEW DR",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285705041",
            "telephone_number": "252-725-9555",
            "fax_number": "252-565-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SOUNDVIEW DR",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285705041",
            "telephone_number": "252-725-9555",
            "fax_number": "252-565-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLESWORTH",
        "first_name": "AMY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400309",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "200400309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, NC

Sources for this page

Verify at the official NPI Registry.