Active NPI
Sugarcreek Medical Center
- Pediatrics Physician
- Charlotte, NC
National Provider Identifier
1528071446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SUGARCREEK MEDICAL CENTER
- Practice address
- 721 W Sugar Creek Rd
Charlotte, NC 28213-6163 - Phone
- (704) 941-2080
- Fax
- (704) 941-2085
- NPI assigned
- Aug 14, 2006
- 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
- Iyore Irene Ojomo
- Title
- Business Administrator
- Phone
- (704) 941-2080
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NC | ||
| Internal Medicine Physician | 207R00000X | NC | ||
| Pediatrics Physician | 208000000X | NC | Primary |
Addresses
Primary practice location
721 W Sugar Creek Rd
Charlotte, NC 28213-6163
Mailing address
721 W Sugar Creek Rd
Charlotte, NC 28213-6163
Phone (704) 941-2080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017KT | Other | NC | BLUECROSSBLUESHIELD ID# |
| 5902388 | Medicaid | NC |
Other names 1
- AMERICARE HEALTH
National Provider Directory
National Provider DirectoryLocations
721 W Sugar Creek Rd
Charlotte, NC 28213
Phone (704) 859-9544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1528071446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 W SUGAR CREEK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136163",
"telephone_number": "704-941-2080",
"fax_number": "704-941-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W SUGAR CREEK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136163",
"telephone_number": "704-941-2080",
"fax_number": "704-941-2085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGARCREEK MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "OJOMO",
"authorized_official_first_name": "IYORE",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "704-941-2080"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD ID#",
"identifier": "017KT",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902388",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AMERICARE HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.