Active NPI
Charlotte'S Premiere Healthcare
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1548337702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36420
- Legal business name
- CHARLOTTE'S PREMIERE HEALTHCARE
- Practice address
- 3230 Prosperity Church Rd
Suite 101
Charlotte, NC 28269-8251 - Phone
- (704) 510-4366
- Fax
- (704) 510-4347
- NPI assigned
- Nov 30, 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
- Dr. Carol Anne Rupe, M.D.
- Title
- Doctor
- Phone
- (704) 510-4366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36420 | NC | Primary |
Addresses
Primary practice location
3230 Prosperity Church Rd
Suite 101
Charlotte, NC 28269-8251
Mailing address
3230 Prosperity Church Rd
Suite 101
Charlotte, NC 28269-8251
Phone (704) 510-4366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013UN | Medicaid | NC | |
| 013UN | Other | NC | BLUE CROSS BLE SHIELD ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1548337702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 PROSPERITY CHURCH RD",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282698251",
"telephone_number": "704-510-4366",
"fax_number": "704-510-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 PROSPERITY CHURCH RD",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282698251",
"telephone_number": "704-510-4366",
"fax_number": "704-510-4347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE'S PREMIERE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "RUPE",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "704-510-4366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": "36420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013UN",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLE SHIELD ID",
"identifier": "013UN",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Charlotte-Mecklenburg Hospital Authority
- Charlotte-Mecklenburg Hospital Authority
- Charlotte-Mecklenburg Hospital Authority
- Charlotte-Mecklenburg Schools
- Charlotte'S Insight, Inc.
- Kimberly Eileen Charlton, LCSWA
- Doreen Gail Charnin, LPC,NCC,CFT,MHDL
- Leia Ann Charnin, PHD, LP, HSP-P
- Maddalithirumala S Charyalu, MD
- Cody Wootten Chase, LMFTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.