Organization Active NPI

Urology Specialists of the Carolinas PLLC

  • Urology Physician
  • Charlotte, NC
National Provider Identifier
1669404208
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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
Last updated
Jul 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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.NPI 1659310639
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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

3355 Clark Rd
Ste E
Sarasota, FL 34231
Phone (941) 309-7284

971 Broad St
#1
Augusta, GA 30901
Phone (706) 434-2600

101 W W T Harris Blvd Ste 5201
Charlotte, NC 28262

10650 Park Rd
Ste 320
Charlotte, NC 28210
Phone (704) 248-3400

10650 Park Rd
Ste 4100
Charlotte, NC 28210

1518 E 3rd St
Ste 250
Charlotte, NC 28204

325 Hawthorne Ln
Ste 250
Charlotte, NC 28204
Phone (704) 944-6320

325 Hawthorne Ln
Ste 300
Charlotte, NC 28204
Phone (704) 372-5180

1085 NE Gateway Ct NE
Ste 101
Concord, NC 28025

1202 N Center St
Hickory, NC 28601
Phone (828) 322-4340

1100 Healing Way
Ste 12
Matthews, NC 28104
Phone (704) 993-2107

100 Kestrel Dr
#1
Collegeville, PA 19426
Phone (704) 248-3400

100 Kestrel Dr
#I
Collegeville, PA 19426
Phone (610) 831-5354

Practitioners & affiliated clinicians

Practitioners 91

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 91

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": [],
    "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.

Verify at the official NPI Registry.