Charlotte Radiology P a

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHARLOTTE RADIOLOGY P A

Practice address

700 E Morehead St Ste 300
Charlotte, NC 28202

Phone

(704) 362-5391

Fax

(704) 414-7512

NPI assigned

May 11, 2006

Last updated

Aug 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kate Roelle

Title

Director of Credentialing

Phone

(614) 689-1691

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC, CO, WA, CA, FL, NY, GA, NJ, TX, NM, UT, VA, MI, OH15 enrollments

Enrollment records 15

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Charlotte Radiology PA

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1003110677

  4587577390

  Same PAC ID

Locations (25 of 70)

Practitioners 391

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.

• Deborah G. Agisim, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1154325553

  SC

  Medicare reassignment Care Compare group NPD
• Kenneth A Anderson Jr., PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1992351662
  Medicare reassignment Care Compare group NPD
• Joshua Arnold, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1720511033

  SC

  Medicare reassignment Care Compare group NPD
• Philip Nana K Baafo Asamoah, MD, MBA

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1477043560

  SC

  Medicare reassignment Care Compare group NPD
• Fadi Samir Azer, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1285098749

  SC

  Medicare reassignment Care Compare group NPD
• Scott McKinley Baker, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1831154913

  SC

  Medicare reassignment Care Compare group NPD
• Kristen Ann Barrantes, PA-C, MCMSC

  • Physician Assistant
  • Charlotte, NC
  • NPI 1871733212
  Medicare reassignment Care Compare group NPD
• Jessica P Baucom, FNP

  • Family Nurse Practitioner
  • Concord, NC
  • NPI 1922450238
  Medicare reassignment Care Compare group NPD
• Jessica Matthews Belk, PAC

  • Medical Physician Assistant
  • Charlotte, NC
  • NPI 1316232697
  Medicare reassignment Care Compare group NPD
• Deanna Marie Bencic, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1174919195
  Medicare reassignment Care Compare group NPD
• Vaughn Braxton, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1255777678

  SC

  Medicare reassignment Care Compare group NPD
• Scott Russell Broadwell, MD

  • Vascular & Interventional Radiology Physician
  • Charlotte, NC
  • NPI 1518948561

  SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1649220443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-362-5391",
            "fax_number": "704-414-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE RADIOLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "ROELLE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "614-689-1691"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Proactive MD PC
• Charlotte Proactive Peters DC PC
• Charlotte Psychological Assessment II PA
• Charlotte Psychological Assessment, PA
• Charlotte Psychotherapy & Consultation Group
• Charlotte Radiology PA
• Charlotte Reconstructive Surgery, PLLC
• Charlotte Restoration
• Charlotte Skin & Laser, P.a.
• Charlotte Sleep Solutions Corporation

• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.