Carolinas Medical Center
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Charlotte, NC
NPI 1720029705 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1720029705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- CAROLINAS MEDICAL CENTER
- Practice address
- 1000 Blythe Blvd, 10TH Floor
Charlotte, NC 28203-5812 - Phone
- (704) 355-2000
- Fax
- (704) 355-5073
- NPI assigned
- Jun 9, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS MEDICAL CENTER
Authorized official
- Name
- Mr. Kenneth D Haynes
- Title
- President
- Phone
- (704) 355-6305
Owners & managing parties with NPI records 13
-
Nancy Gritter, MD
-
Saju Joy, MD
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 24
Related certifications (CCN) 3
Practitioners 1,057
-
Matthew Abraham, MD
-
Mohammad Abu-Rub, M.B.B.S.
-
Natasha Adlakha, MD
-
Nabil Ahmad, MD
-
Amina Ahmed, MD
-
Chelley Kaye Alexander, M.D.
-
Leah Alexander, PA-C
-
Faatimah Feroza Ali, APRN
-
Maram Alkhatib, MD
-
Maria Almeida, MD
Affiliated clinicians 4,054
-
Brian W Ablitz, PSY.D., ABPP
-
Peter Abraham, MD, MAS
-
Hillary Vanhoy Absher, NP-C
-
Mohammad Abu-Rub, M.B.B.S.
-
Ryan Accomazzo, MD
-
Pranab Acharya, M.D., MPH
-
Ngehbehgnui Achu, CRNA
-
Brittany Ackroyd, PA
-
Brandi Adams, MD
-
Quentin Adams, M.D.
-
Satish Adawadkar, MD
-
Jimmie Warren Adcock, M.D.
-
Tiffany Adcock, FNP
-
Natasha Adlakha, MD
Medicare Care Compare: Hospital
- Listed as
- Carolinas Medical Center/Behav Health
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Hospital certification: CCN 340113
- Legal name
- CAROLINAS MEDICAL CENTER
- Doing business as
- CAROLINAS MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 4, 2011
- Beds
- 843
- Ownership / control type
- Hospital district or authority
- Organization structure
- Other · Non-profit
- Incorporated
- Jun 26, 1943 in NC
- Enrollment address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Hospital subgroups
- General, Acute care, Rehabilitation, Psychiatric unit, Rehabilitation unit
All disclosed owners & managing parties 36
| Name | Role | Since | Share |
|---|---|---|---|
| Gary B Gragg |
Corporate Director |
Jan 1, 2020 | |
| Callie F Dobbins |
W-2 Managing Employee |
Jan 1, 2020 | |
| Luther Amos Lockwood |
Corporate Director |
Jan 1, 2025 | |
| David a Danzie |
Corporate Director |
Jan 1, 2020 | |
| William C Cannon |
Corporate Director |
Jul 1, 2007 | |
| Theresa Marie Payton |
Corporate Director |
Jan 1, 2025 | |
| Angelique R Vincent-Hamacher |
Corporate Director |
Jan 1, 2014 | |
| Mark E Reed |
Corporate Director |
Jan 1, 2020 | |
| Brett J Denton |
Corporate Officer |
Jan 1, 2025 | |
| Charles F Bowman |
Corporate Director |
Jan 1, 2020 | |
| Rodney E Ball |
W-2 Managing Employee |
Jan 3, 2019 | |
| Kenneth F Davis |
Corporate Director |
Jan 1, 2025 | |
| Adrienne S H Purdue |
Corporate Director |
Jan 1, 2020 | |
| The Charlotte-Mecklenburg Hospital Authority |
5% Or Greater Direct Ownership Interest | Nov 7, 2007 | |
| Operational/Managerial Control | Nov 7, 2007 | ||
| Luther Kissam |
Corporate Director |
Jan 1, 2025 | |
| Saju D Joy |
W-2 Managing Employee |
Jan 1, 2020 | |
| Swati V Daji |
Corporate Director |
Jan 1, 2020 | |
| Kenneth D Haynes |
Corporate Director |
Jan 1, 2023 | |
| Felicia H Allen |
Corporate Director |
Jan 1, 2020 | |
| The Charlotte-Mecklenburg Hospital Authority |
5% Or Greater Direct Ownership Interest | Nov 7, 2007 | |
| Operational/Managerial Control | Nov 7, 2007 | ||
| Amanda S Houser |
Corporate Director |
Jan 1, 2022 | |
| Marshall Carlson |
Corporate Director |
Feb 11, 2016 | |
| Bradley Allen Clark |
Corporate Officer |
Aug 14, 2023 | |
| Nancy J Gritter |
Corporate Director |
Feb 3, 2017 | |
| Hal a Levinson |
Corporate Director |
Feb 11, 2016 | |
| Atrium Health Inc |
Operational/Managerial Control | Oct 9, 2020 | |
| Advocate Health Inc |
Operational/Managerial Control | Dec 2, 2022 | |
| Vicki J Block |
W-2 Managing Employee |
Apr 1, 2019 | |
| Michael D Rucker |
Corporate Director |
Jan 1, 2013 | |
| Todd Jamal Collins |
Corporate Director |
Jan 1, 2025 | |
| Richard T Williams |
Corporate Director |
Jan 28, 2015 | |
| William T Niblock |
Corporate Director |
Jan 1, 2013 | |
| Steven Smoot |
Corporate Officer |
Jun 2, 2025 | |
| Carl J. Herring |
Corporate Director |
Jan 1, 2022 | |
| Lucia Zapata Griffith |
Corporate Director |
Jan 1, 2025 | |
| Douglas Roush |
W-2 Managing Employee |
Jan 31, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051026000200 | NC | Part a Provider - Hospital | 4789597477 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20120525000578 | NC | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 4789597477 | Practice locations: Charoltte, NC |
National Provider Directory
- Tax ID family
- Ctr for Mental Health
- Part of
- Ctr for Mental Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
1000 Blythe Blvd, 10TH Floor
Charlotte, NC 28203-5812
Mailing address
PO Box 32861
Charlotte, NC 28232-2861
Phone (704) 512-6438
Other names
- Carolinas Medical Center - ESRD
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Charlotte, NC
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
- Carolinas Medical Center
All providers in Charlotte, NC · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.