Active NPI
Charles Alison Simonton III, M.D.
- Cardiovascular Disease Physician
- Charlotte, NC
National Provider Identifier
1679586895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 28346
- Practice address
- 1001 Blythe Blvd Ste 300
Charlotte, NC 28203-5863 - Phone
- (704) 373-0212
- Fax
- (704) 373-1216
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28346 | NC | |
| Internal Medicine Physician | 207R00000X | 14424 | SC | |
| Cardiovascular Disease Physician | 207RC0000X | 28346 | NC | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 14424 | SC | |
| Interventional Cardiology Physician | 207RI0011X | 28346 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 14424 | SC |
Addresses
Primary practice location
1001 Blythe Blvd Ste 300
Charlotte, NC 28203-5863
Mailing address
PO Box 60122
Charlotte, NC 28260-0122
Phone (704) 373-0212
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N28346 | Medicaid | SC | |
| 76354 | Other | NC | BCBS |
| P00205957 | Other | RAILROAD MEDICARE | |
| 8976354 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14424 | SC | MD | Clinical Social Worker |
| 28346 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sanger Clinic PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1679586895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60122",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600122",
"telephone_number": "704-373-0212",
"fax_number": "704-373-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035863",
"telephone_number": "704-373-0212",
"fax_number": "704-373-1216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONTON",
"first_name": "CHARLES",
"middle_name": "ALISON",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "28346",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "14424",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "28346",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "14424",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "28346",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SC",
"license": "14424",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N28346",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "76354",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00205957",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8976354",
"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 Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.