Active NPI
Pamela Abraham, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5010396
- Practice address
- 1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990 - Phone
- (980) 442-2000
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21739 | SC | |
| Nurse Practitioner | 363L00000X | 5010396 | NC | Primary |
Addresses
Primary practice location
1021 Morehead Medical Dr
Ste a
Charlotte, NC 28204-2990
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1021 Morehead Medical Dr
Ste 6100
Charlotte, NC 28204-2990
Phone (980) 442-2000
Other practice location 2
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180619000097 | NC | Practitioner - Nurse Practitioner | 7012043987 | Reassigns benefits to 2 organizations |
| I20221202000402 | SC | Practitioner - Nurse Practitioner | 7012043987 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21739 | SC | MD | Diagnostic Ultrasound Physician |
| 5010396 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Providence House Calls LLC | Nurse Practitioner | Current | Accepting new patients |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Health Providers of America, LLC | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884
1021 Morehead Medical Dr
Ste 6100
Charlotte, NC 28204
Phone (704) 355-1813
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
20 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 288-6775
500 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 818-6900
634 Fairview Rd
Simpsonville, SC 29680
Phone (843) 851-3126
110 Summit Hills Dr
Spartanburg, SC 29307
Phone (864) 208-8725
Interoperability endpoints
- ambulatory@direct.carolinashealthcare.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Nurse Practitioner, SC
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NC
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- Surgical Critical Care Physician
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- NPI 1699979732
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- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Specialist
- Charlotte, NC
- NPI 1689628158
-
- Surgical Oncology Physician
- Monroe, NC
- NPI 1124393657
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1528050440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MOREHEAD MEDICAL DR",
"address_2": "STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042990",
"telephone_number": "980-442-2000"
}
],
"practiceLocations": [
{
"address_1": "1021 Morehead Medical Dr",
"address_2": "Ste 6100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042990",
"country_code": "US",
"telephone_number": "980-442-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAM",
"first_name": "PAMELA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "21739",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5010396",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1021 Morehead Medical Dr",
"address_2": "Ste A",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042990",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"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 Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.