Active NPI
Tracela Vaden, MD
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200300207
- Practice address
- 200 S College St
Ste 500
Charlotte, NC 28202-2012 - Phone
- (704) 302-8800
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22945 | SC | |
| Internal Medicine Physician | 207R00000X | 200300207 | NC | Primary |
Addresses
Primary practice location
200 S College St
Ste 500
Charlotte, NC 28202-2012
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
705 Griffith St
Ste 100
Davidson, NC 28036-9304
Phone (704) 801-7900
Other practice location 2
10650 Park Rd
Ste 420
Charlotte, NC 28210-8538
Phone (704) 302-8700
Other practice location 3
332 N Trade St
Ste 2000
Matthews, NC 28105-1728
Phone (704) 302-8500
Other practice location 4
15110 John J Delaney Dr
Ste 200
Charlotte, NC 28277-3544
Phone (704) 302-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300207 | NC | MD | Internal Medicine Physician |
| 22945 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Piedmont Physician Network LLC | Internal Medicine | Past | Accepting new patients |
| Union Urgent Care LLC | Past | Accepting new patients | |
| Union Urgent Care LLC | Past | Accepting new patients | |
| American Family Care, LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Past | Accepting new patients |
| Piedmont East Urgent Care Center LLC | Past | Accepting new patients | |
| Piedmont Urgent Care Center at Baxter Village LLC | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700
10650 Park Rd
Ste 420
Charlotte, NC 28210
Phone (704) 302-8700
6030 W Highway 74
Indian Trail, NC 28079
Phone (704) 246-2777
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1285995415
Internal Medicine
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1437168937
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Monroe, NC
- NPI 1063421469
-
- Family Medicine Physician
- Indian Trail, NC
- NPI 1659380079
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Urgent Care Clinic/Center
- Rock Hill, SC
- NPI 1437146537
-
- Internal Medicine Physician
- York, SC
- NPI 1194277186
-
- Urgent Care Clinic/Center
- Fort Mill, SC
- NPI 1972590073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1588698229",
"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": "200 S COLLEGE ST",
"address_2": "STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022012",
"telephone_number": "704-302-8800"
}
],
"practiceLocations": [
{
"address_1": "705 Griffith St",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Davidson",
"state": "NC",
"postal_code": "280369304",
"country_code": "US",
"telephone_number": "704-801-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10650 Park Rd",
"address_2": "Ste 420",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108538",
"country_code": "US",
"telephone_number": "704-302-8700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "332 N Trade St",
"address_2": "Ste 2000",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281051728",
"country_code": "US",
"telephone_number": "704-302-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15110 John J Delaney Dr",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773544",
"country_code": "US",
"telephone_number": "704-302-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VADEN",
"first_name": "TRACELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "22945",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200300207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.