Organization Active NPI

Carolina Stem Cell Institute LLC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1578222600
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINA STEM CELL INSTITUTE LLC
Doing business as
Carolina Cell Therapy
Practice address
1720 Abbey PL
Charlotte, NC 28209-3736
Phone
(704) 200-9761
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Steven R Puckett Sr.
Title
Manager
Phone
(704) 200-9761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1720 Abbey PL
Charlotte, NC 28209-3736

Mailing address

1720 Abbey PL
Charlotte, NC 28209-3736
Phone (704) 200-9761

Other names 1

  • Carolina Cell Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1578222600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 ABBEY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093736",
            "telephone_number": "704-200-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 ABBEY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093736",
            "telephone_number": "704-200-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA STEM CELL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-200-9761",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Cell Therapy",
            "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 Dec 16, 2021; 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.