Corey Michael Colson, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005713 Issued in NC

Practice address

6060 Piedmont Row Dr S FL 6
Charlotte, NC 28287-3884

Phone

(704) 489-3094

NPI assigned

Mar 17, 2016

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17847/brand/1/csg/1/fhir/r4

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.

• Atrium Health Childrens Specialty Network Inc

  dba Atrium Health Levine Children Specialty Center Pediatric Pulmonology

  • Pediatric Endocrinology Physician
  • Hickory, NC
  • NPI 1962218057
  Medicare reassignment
• The Charlotte-Mecklenburg Hospital Authority

  dba Levine Cancer Institute

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC

  Medicare reassignment
• Tryon Medical Partners, PLLC

  dba Tryon Diabetes Prevention Program

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1497510184

  Dietitian, Registered

  NPD
• HSHS Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, IL
  • NPI 1629465414
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1518328574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S FL 6",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873884",
            "telephone_number": "704-489-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9615 Kincey Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280789140",
            "country_code": "US",
            "telephone_number": "704-489-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1118 W Legacy Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627116444",
            "country_code": "US",
            "telephone_number": "217-787-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Matthews Township Pkwy",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055322",
            "country_code": "US",
            "telephone_number": "704-495-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLSON",
        "first_name": "COREY",
        "middle_name": "MICHAEL",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164006771",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "2025F",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4720351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Williams Colombo, PA-C
• Melissa Colon-Roman, PA-C
• David Manuel Colon, MD
• John Paul Colosi
• Christopher J Colson, ED.D
• Theresa Coltey, FNP
• Gloria Coltharp, MSW, LCSW, BCD, ACSW
• Nicholas A Colucciello, MD
• Stephen A. Colucciello, MD
• Columbus Eye Associates, Inc.

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.