Active NPI
Urology Specialists of the Carolinas PLLC
- Urology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY SPECIALISTS OF THE CAROLINAS PLLC
- Practice address
- 325 Hawthorne LN Ste 300
Charlotte, NC 28204-2433 - Phone
- (704) 372-5180
- Fax
- (704) 376-6280
- NPI assigned
- Jul 6, 2006
- 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
- Dr. Ralph N Vick, M.D.
- Title
- President
- Phone
- (704) 248-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
325 Hawthorne LN Ste 300
Charlotte, NC 28204-2433
Mailing address
1518 East 3Rd Street
Suite 250
Charlotte, NC 28236-6488
Phone (704) 248-3400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0279U | Other | NC | BLUE CROSS BLUE SHIELD |
| CF9758 | Other | NC | RAILROAD MEDICARE PROV# |
| 5903371 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127000244 | NC | Part B Supplier - Clinic/Group Practice | 0648178020 |
Receives reassigned benefits from 81 practitioners Practice locations: Charlotte, NC; Matthews, NC; Huntersville, NC; Hickory, NC; Greensboro, NC; Concord, NC |
| O20160601001935 | GA | Part B Supplier - Independent Clinical Laboratory | 0648178020 |
Receives reassigned benefits from 1 practitioner Practice locations: Augusta, GA |
National Provider Directory
National Provider DirectoryLocations
3355 Clark Rd
Ste E
Sarasota, FL 34231
Phone (941) 309-7284
971 Broad St
#1
Augusta, GA 30901
Phone (706) 434-2600
101 E Wt Harris Blvd
Ste 5202
Charlotte, NC 28262
Phone (704) 372-5180
10650 Park Rd
Ste 320
Charlotte, NC 28210
Phone (704) 248-3400
1518 E 3rd St
Ste 250
Charlotte, NC 28204
325 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 973-2106
101 W W T Harris Blvd Ste 5201
Charlotte, NC 28262
325 Hawthorne Ln
Ste 300
Charlotte, NC 28204
Phone (704) 372-5180
1518 E 3rd St
Ste 150
Charlotte, NC 28204
Phone (704) 370-2076
10650 Park Rd
Ste 4100
Charlotte, NC 28210
1085 NE Gateway Ct NE
Ste 101
Concord, NC 28025
509 N Elam Ave
Fl 2
Greensboro, NC 27403
Phone (336) 274-1114
100 Kestrel Dr
#I
Collegeville, PA 19426
Phone (610) 831-5354
100 Kestrel Dr
#1
Collegeville, PA 19426
Phone (704) 248-3400
Practitioners 90
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500336000000",
"number": "1669404208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 EAST 3RD STREET",
"address_2": "SUITE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282366488",
"telephone_number": "704-248-3400",
"fax_number": "704-337-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 HAWTHORNE LN STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042433",
"telephone_number": "704-372-5180",
"fax_number": "704-376-6280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY SPECIALISTS OF THE CAROLINAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2017-07-18",
"status": "A",
"authorized_official_last_name": "VICK",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-248-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0279U",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV#",
"identifier": "CF9758",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903371",
"state": "NC"
}
],
"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 Jul 18, 2017; 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.