The Charlotte-Mecklenburg Hospital Authority

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Doing business as

Franklin Street Ambulatory Clinic

Practice address

412 E Franklin St
Monroe, NC 28112-5600

Phone

(704) 289-9461

NPI assigned

Mar 13, 2013

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

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

Authorized official

Name

Thomas Laymon

Title

Senior Vice President

Phone

(704) 446-8250

Specialties & licenses 1

Addresses

Other names 1

• Franklin Street Ambulatory Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Medical Center

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Everlyn Lilease Hall-Baker, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1174574149
  NPD
• Donald Wayne Woodburn, MD

  • Internal Medicine Physician
  • Wadesboro, NC
  • NPI 1801822655
  NPD

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1619218831",
    "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",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125600",
            "telephone_number": "704-289-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2013-03-13",
        "last_updated": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-446-8250"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "412 E Franklin St",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Franklin Street Ambulatory Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franklin Street Ambulatory Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Charlotte-Mecklenburg Hospital Authority (Levine Cancer Institute)
• The Charlotte-Mecklenburg Hospital Authority (Carolinas HealthCare System Neurosciences Institute)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Union)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Union)
• The Charlotte-Mecklenburg Hospital Authority (Union Regional Home Care)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Endocrinology - Monroe)
• The Heritage of Union County, LLC (PruittHealth - Union Pointe)
• The Hill Group
• The Mental Health Association in North Carolina, Inc. (Union PSR)
• The Presbyterian Hospital (Novant Health Heart and Vascular Institute)

• Internal Medicine Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.