Organization Active NPI

Sugarcreek Medical Center

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1528071446
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X NC
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NC
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
017KTOtherNCBLUECROSSBLUESHIELD ID#
5902388MedicaidNC

Other names 1

  • AMERICARE HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.