Active NPI
Carolina Stem Cell Institute LLC
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1578222600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.