Active NPI
Cardiac Cin of Charlotte LLC
- Cardiovascular Disease Physician
- Charlotte, NC
National Provider Identifier
1508364886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIAC CIN OF CHARLOTTE LLC
- Practice address
- 15720 Brixham Hill Ave Ste 300C
Charlotte, NC 28277-4784 - Phone
- (615) 386-0064
- Fax
- (615) 386-0067
- NPI assigned
- Jan 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Leland Hutton Eadie
- Title
- Director
- Phone
- (615) 733-2064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NC | Primary | |
| Interventional Cardiology Physician | 207RI0011X | NC |
Addresses
Primary practice location
15720 Brixham Hill Ave Ste 300C
Charlotte, NC 28277-4784
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
15720 Brixham Hill Ave
Ste 300C
Charlotte, NC 28277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581552000000",
"number": "1508364886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15720 BRIXHAM HILL AVE STE 300C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774784",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC CIN OF CHARLOTTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-31",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "EADIE",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "LELAND HUTTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-733-2064"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.