Susan Farrar Antle, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Charlotte, NC
NPI 1720060387 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1720060387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 2019-02883 (NC)
- Practice address
- 1025 Morehead Medical Dr
Ste 400
Charlotte, NC 28204-2963 - Phone
- (704) 446-1700
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200408000952 | NC | Practitioner - Obstetrics/Gynecology | 7214265081 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrium Health North Market Network LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310
101 E Wt Harris Blvd
Ste 2320
Charlotte, NC 28262
Phone (704) 547-0858
7810 Providence Rd
Ste 105
Charlotte, NC 28226
Phone (704) 446-7800
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
1025 Morehead Medical Dr
Ste 500
Charlotte, NC 28204
Phone (704) 355-3149
1025 Morehead Medical Dr
Ste 450
Charlotte, NC 28204
Phone (704) 446-7800
1025 Morehead Medical Dr
Ste 400
Charlotte, NC 28204
1025 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-4455
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
16455 Statesville Rd
Ste 400
Huntersville, NC 28078
Phone (701) 801-2130
447 McAlister Rd
Ste 3500
Lincolnton, NC 28092
Phone (980) 212-6230
Interoperability endpoints
- santle500224@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 2019-02883 | NC | |
| Obstetrics Physician | 207VX0000X | 2019-02883 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 2019-02883 | NC | Yes |
Addresses
Primary practice location
1025 Morehead Medical Dr
Ste 400
Charlotte, NC 28204-2963
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1025 Morehead Medical Dr
Ste 500 FL 5
Charlotte, NC 28204-2963
Phone (704) 355-3149
Other practice location 2
1025 Morehead Medical Dr
Ste 450
Charlotte, NC 28204-2963
Phone (704) 446-7800
Other practice location 3
101 E W T Harris Blvd
Ste 2320
Charlotte, NC 28262-3485
Phone (704) 547-0858
Other practice location 4
7810 Providence Rd
Ste 105
Charlotte, NC 28226-2954
Phone (704) 446-7800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | santle500224@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Other providers in Charlotte, NC
- Jessica White Anthony
- Marquita B Anthony
- Michelle N Anthony
- Nicholas E Anthony
- Shaun Anthony
- Marie Antoine
- Vittorio Paolo Antonacci
- Jill Marie Antoniazzi
- Andrew Nicholas Antoszyk
- James Howard Antoszyk
All providers in Charlotte, NC · Obstetrics & Gynecology Physician 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 Jul 15, 2024. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.