The Charlotte-Mecklenburg Hospital Authority

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Doing business as

NorthEast Plastic & Reconstructive Surgery-Albemarle

Practice address

105 Yadkin Street
Suite 203
Albemarle, NC 28001-3459

Phone

(704) 403-2670

Fax

(704) 403-2779

NPI assigned

Oct 2, 2013

Last updated

Jan 21, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

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

Authorized official

Name

Frieda M Lowder

Title

Sr. Vice President

Phone

(704) 403-1780

Specialties & licenses 1

Addresses

Other names 1

• NorthEast Plastic & Reconstructive Surgery-Albemarle Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Medical Center

Practitioners 5

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.

• Justin Canter, FNP

  • Nurse Practitioner
  • Albemarle, NC
  • NPI 1194274100
  NPD
• Tedra Michelle Claytor, MD

  • Infectious Disease Physician
  • Concord, NC
  • NPI 1588872642
  NPD
• Adam Ravin, MD

  • Plastic Surgery Physician
  • Concord, NC
  • NPI 1164460465
  NPD
• Lorene Atkins Temming, MD

  • Maternal & Fetal Medicine Physician
  • Charlotte, NC
  • NPI 1891012571
  NPD
• Kerri Ann Rochelle Thomas, MD

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1649445735
  NPD

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1508293879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 YADKIN STREET",
            "address_2": "SUITE 203",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013459",
            "telephone_number": "704-403-2670",
            "fax_number": "704-403-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN STREET",
            "address_2": "SUITE 203",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013459",
            "telephone_number": "704-403-2670",
            "fax_number": "704-403-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2013-10-02",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-1780"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Plastic & Reconstructive Surgery-Albemarle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Bridge of the Carolinas
• The Charlotte-Mecklenburg Hospital Authority (Levine Cancer Institute)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Stanly)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Stanly)
• The Charlotte-Mecklenburg Hospital Authority (Carolinas HealthCare System Neurosciences Institute)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Stanly)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Behavioral Health Psychiatry & Counseling)
• The Charlotte-Mecklenburg Hospital Authority (Stanly Manor)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Stanly Behavioral Health)
• The Homeplace Rest & Retirement

• Plastic and Reconstructive Surgery Physician in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Plastic and Reconstructive Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.