Organization Active NPI

Orthocarolina

  • Orthopaedic Surgery Physician
  • Indian Land, SC
National Provider Identifier
1619641453
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOCAROLINA
Practice address
6237 Carolina Commons Dr Ste 110
Indian Land, SC 29707-4513
Phone
(803) 266-7547
Fax
(803) 849-8391
NPI assigned
Aug 5, 2021
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Brent Shear
Title
Cfo
Phone
(704) 323-2222

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Orthopaedic Hand Surgery Physician 207XS0106X NU
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X NU
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU
Pediatric Orthopaedic Surgery Physician 207XP3100X NU

Addresses

Primary practice location

6237 Carolina Commons Dr Ste 110
Indian Land, SC 29707-4513

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 696-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080625000065 SC Part B Supplier - Clinic/Group Practice 2062316821 Receives reassigned benefits from 87 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bennettsville, SC; Indian Land, SC; Fort Mill, SC
O20211123001392 SC DME Supplier - Multi-Specialty - Physician 2062316821 Practice locations: Indian Land, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

726 State Farm Rd
#B
Boone, NC 28607
Phone (828) 264-0501

1025 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-4455

3311 Jessie Village Dr
Clemmons, NC 27012
Phone (336) 659-4135

10315 Hamptons Park Dr
Ste 300
Huntersville, NC 28078
Phone (704) 323-2809

16455 Statesville Rd
Ste 102
Huntersville, NC 28078
Phone (704) 323-2809

205 W King St Ste 100C
Kings Mountain, NC 28086
Phone (704) 739-0277

1450 Matthews Township Pkwy
Ste 120
Matthews, NC 28105
Phone (704) 323-3208

710 Park Center Dr
Matthews, NC 28105
Phone (704) 323-3208

131 Medical Park Rd
Ste 102
Mooresville, NC 28117
Phone (704) 663-1282

1668 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-9736

Practitioners & affiliated clinicians

Practitioners 490

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.

View all 490

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1619641453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-696-2256",
            "fax_number": "704-945-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 CAROLINA COMMONS DR STE 110",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074513",
            "telephone_number": "803-266-7547",
            "fax_number": "803-849-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "SHEAR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-323-2222"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.