NPIMap

Individual provider Active NPI

Courtney Lynne Claugus, PA

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1558985176
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11287 Issued in NC
Practice address
13620 Reese Blvd E
Ste 100
Huntersville, NC 28078-6417
Phone
(704) 801-7330
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11287 NC Primary

Addresses

Primary practice location

13620 Reese Blvd E
Ste 100
Huntersville, NC 28078-6417

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105000279 NC Practitioner - Physician Assistant 3870982291 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

1020 Tree of Life LN
Cornelius, NC 28031-9454
Phone (704) 801-7330

170 Medical Park Rd
Mooresville, NC 28117-8540
Phone (704) 801-7370

4525 Cameron Valley Pkwy
Suite 4100D
Charlotte, NC 28211-4369
Phone (980) 402-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 9, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 9, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 9, 2023 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1020 Tree of Life Ln
Cornelius, NC 28031
Phone (704) 801-7330

13620 Reese Blvd E
Ste 100
Huntersville, NC 28078
Phone (704) 801-7330

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

Interoperability endpoints

  • Direct secure messaging: cclaugus50516@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1558985176",
    "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": "13620 REESE BLVD E",
            "address_2": "STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786417",
            "telephone_number": "704-801-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUGUS",
        "first_name": "COURTNEY",
        "middle_name": "LYNNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-07-15",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.