NPIMap

Organization Active NPI

Superior Health Medical, PLLC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1508591553
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUPERIOR HEALTH MEDICAL, PLLC
Practice address
1019 Dacavin Dr
Charlotte, NC 28226-6927
Phone
(980) 322-9742
NPI assigned
Jul 22, 2022
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SUPERIOR HEALTH MEDICAL, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Lisette Akers, MDNPI 1972714988
Title
Ceo/Owner
Phone
(980) 322-9742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1019 Dacavin Dr
Charlotte, NC 28226-6927

Mailing address

1019 Dacavin Dr
Charlotte, NC 28226-6927
Phone (980) 322-9742

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisette.akers@superiorhealthmedical.com

National Provider Directory

National Provider Directory
Tax ID family
Superior Health Medical PLLC2 organizations share this tax ID, including this one
Part of
Superior Health Medical PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: lisette.akers@superiorhealthmedical.com

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1508591553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 DACAVIN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266927",
            "telephone_number": "980-322-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 DACAVIN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266927",
            "telephone_number": "980-322-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH MEDICAL, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERIOR HEALTH MEDICAL, PLLC",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "980-322-9742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisette.akers@superiorhealthmedical.com",
            "affiliation": "N",
            "address_1": "1019 Dacavin Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282266927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.