NPIMap

Organization Active NPI

The Charlotte-Mecklenburg Hospital Authority

Doing business as Levine Cancer Institute

  • Medical Oncology Physician
  • Indian Land, SC
National Provider Identifier
1669738829
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Doing business as
Levine Cancer Institute
Practice address
7666 Charlotte Hwy
Suite 200-a
Indian Land, SC 29707-7000
Phone
(704) 302-9600
Fax
(704) 302-9601
NPI assigned
Apr 2, 2012
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Mr. Thomas Ford Laymon
Title
SVP
Phone
(704) 631-0002

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X Primary
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X

Addresses

Primary practice location

7666 Charlotte Hwy
Suite 200-a
Indian Land, SC 29707-7000

Mailing address

PO Box 602120
Charlotte, NC 28260-2120
Phone (704) 302-9600

Other names 1

  • Levine Cancer Institute Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100309000605 NC Part B Supplier - Clinic/Group Practice 2961310685 Receives reassigned benefits from 1,831 practitioners
O20120913000839 SC Part B Supplier - Clinic/Group Practice 2961310685 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rock Hill, SC

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Tiffany Franklin

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carolinas Medical CenterCharlotte, NC, CCN 340113 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Nov 7, 2007
Nov 7, 2007
Levine Children's Hospital PediatricsCharlotte, NC, CCN 34T113 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Nov 7, 2007
Nov 7, 2007
Scotland Memorial Hospital, IncLaurinburg, NC, CCN 34T008 Hospital Operational/Managerial Control Apr 1, 2009
Jesse Helms Nursing CenterMonroe, NC, CCN 345097 Skilled nursing facility Adp of the SNF Feb 1, 2020
Atrium Health at Home LincolnLincolnton, NC, CCN 347191 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 1, 2009
Jul 1, 2009
Atrium Health at Home CharlotteCharlotte, NC, CCN 347112 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Jul 1, 2009
Atrium Health at Home StanlyAlbemarle, NC, CCN 347113 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 16, 2007
Jul 1, 2009
Atrium Health at Home UnionMonroe, NC, CCN 347210 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 16, 2007
Atrium Health Floyd Medical Center Heyman Hospice CareRome, GA, CCN 111524 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 14, 2021
Atrium Health Hospice Union; Atrium Health Hospice AnsonMonroe, NC, CCN 341513 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 12, 2011

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Practitioners & affiliated clinicians

Practitioners 1,859

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 1,859

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1669738829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602120",
            "telephone_number": "704-302-9600",
            "fax_number": "704-302-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7666 CHARLOTTE HWY",
            "address_2": "SUITE 200-A",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077000",
            "telephone_number": "704-302-9600",
            "fax_number": "704-302-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2012-04-02",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "704-631-0002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levine Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Land, SC

Sources for this page

Verify at the official NPI Registry.