Active NPI
Thea L. Pfeifer, MD
- Pediatric Endocrinology Physician
- Concord, NC
National Provider Identifier
1538131776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 9400124
- Practice address
- 100 Medical Park Dr
Ste 310B
Concord, NC 28025-2948 - Phone
- (704) 403-2660
- NPI assigned
- Feb 2, 2006
- Last updated
- Jul 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 9400124 | NC | Primary |
Addresses
Primary practice location
100 Medical Park Dr
Ste 310B
Concord, NC 28025-2948
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
9625 Northcross Center Ct
Ste 102C
Huntersville, NC 28078-7348
Phone (704) 801-1240
Other practice location 2
201 Dale Earnhardt Blvd
Ste 201
Kannapolis, NC 28081-0308
Phone (704) 403-7430
Other practice location 3
101 E W T Harris Blvd
Bldg 3000 Ste 3301C
Charlotte, NC 28262-3485
Phone (704) 403-2660
Other practice location 4
1781 Tate Blvd SE
Ste 203
Hickory, NC 28602-4251
Phone (704) 512-3636
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tpfeifer137361@CarolinasHealthcareSystem.direct-ci.com | 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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400124 | NC | MD | Pediatric Endocrinology Physician |
Interoperability endpoints
- tpfeifer137361@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1538131776",
"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": "100 MEDICAL PARK DR",
"address_2": "STE 310B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252948",
"telephone_number": "704-403-2660"
}
],
"practiceLocations": [
{
"address_1": "9625 Northcross Center Ct",
"address_2": "Ste 102C",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787348",
"country_code": "US",
"telephone_number": "704-801-1240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Dale Earnhardt Blvd",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280810308",
"country_code": "US",
"telephone_number": "704-403-7430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E W T Harris Blvd",
"address_2": "Bldg 3000 Ste 3301C",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623485",
"country_code": "US",
"telephone_number": "704-403-2660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1781 Tate Blvd SE",
"address_2": "Ste 203",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286024251",
"country_code": "US",
"telephone_number": "704-512-3636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PFEIFER",
"first_name": "THEA",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NC",
"license": "9400124",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tpfeifer137361@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "100 Medical Park Dr",
"address_2": "Ste 310B",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280252948",
"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 Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.