The Charlotte-Mecklenburg Hospital Authority
Organization Active NPI Medical Oncology Physician · Indian Land, SC
NPI 1669738829 · NPPES record last updated Aug 12, 2016
Key facts
- NPI
- 1669738829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- Legal business name
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- SVP
- Phone
- (704) 631-0002
Owned or controlled facilities with NPI records 14
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 5
Practitioners 1,863
-
Kathryn Ann Barnes, FNP
-
Brian Scott Cope, MD
-
Alaa Muslimani, MD
-
Rami Zebian, M.D.
-
Hillary Vanhoy Absher, NP-C
-
Nabil Ahmad, MD
-
Jing Ai, MD
-
Fatima Ali, MD
-
Maria Almeida, MD
-
Asim Amin, MD
-
Onaiza Anees, MD
-
Iyad Hanna Asaad, MD
-
Kassia Anne Atnip, AGACNP-BC
-
Shebli Atrash, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Carolinas Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Nov 7, 2007 Nov 7, 2007 |
| Levine Children'S Hospital Pediatrics |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Nov 7, 2007 Nov 7, 2007 |
| Scotland Memorial Hospital, Inc |
Hospital | Operational/Managerial Control | Apr 1, 2009 |
| Jesse Helms Nursing Center |
Skilled nursing facility | Adp of the SNF | Feb 1, 2020 |
| Atrium Health at Home Lincoln |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 1, 2009 Jul 1, 2009 |
| Atrium Health at Home Charlotte |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 16, 2007 Jul 1, 2009 |
| Atrium Health at Home Stanly |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Nov 16, 2007 Jul 1, 2009 |
| Atrium Health at Home Union |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Nov 16, 2007 |
| Atrium Health Floyd Medical Center Heyman Hospice Care |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 14, 2021 |
| Atrium Health Hospice Union; Atrium Health Hospice Anson |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jan 12, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Charlotte Mecklenburg Hospital Authority
Locations
7666 Charlotte Hwy
Ste 200A
Indian Land, SC 29707
Phone (704) 302-9600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Hematology (Internal Medicine) Physician |
207RH0000X | |||
| Medical Oncology Physician |
207RX0202X | Yes | ||
| Surgical Oncology Physician |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5919924 | Medicaid | NC | |
| NPB475 | Medicaid | SC |
Other names
- Levine Cancer Institute
Other providers in Indian Land, SC
- Abiha Subzwari
- Curtis Valentine Sullivan
- Sun City Family Pharmacy LLC
- Brian Keith Sutton
- Nathan Robert Terry I
- Therapy Institute of the Carolinas, LLC
- Therapy Institute of the Carolinas, LLC
- Therapyworks 4 Kids, LLC
- Ashley Snipes Thomas
- Matthew Robert Thomas
All providers in Indian Land, SC · Medical Oncology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.