Individual provider Active NPI

Mandana Farhadieh Morales, MD, PC

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1740274869
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD83399 Issued in SC
Practice address
6401 Stargaze LN Ste 106
Charlotte, NC 28269-0802
Phone
(704) 591-7196
Fax
(704) 464-1818
NPI assigned
Sep 2, 2005
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 02000068 NC
Pediatrics Physician 208000000X 85692 WI
Pediatrics Physician 208000000X MD83399 SC Primary
Pediatric Adolescent Medicine Physician 2080A0000X 036103258 IL

Addresses

Primary practice location

6401 Stargaze LN Ste 106
Charlotte, NC 28269-0802

Mailing address

6401 Stargaze LN Ste 106
Charlotte, NC 28269-0802
Phone (704) 591-7196

Other practice location 1

1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (708) 634-0950

Other identifiers 1

IdentifierTypeStateIssuer
036103258MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address mfarhadiehmorales237917@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, WI, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201208000612 NC Practitioner - Pediatric Medicine 8921410481 Reassigns benefits to 2 organizations
I20250115003468 IL Practitioner - Pediatric Medicine 8921410481 Reassigns benefits to 1 organization
I20250507000141 WI Practitioner - Pediatric Medicine 8921410481 Reassigns benefits to 1 organization
I20250903002143 GA Practitioner - Pediatric Medicine 8921410481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 E 2ND Ave
Suite 103
Rome, GA 30161-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02000068NCMDPediatrics Physician
MD83399SCMDPediatrics Physician
036103258ILMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatrics Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 23, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 23, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 19, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 17, 2024 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Aug 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 17, 2024 Accepting new patients
Carolinas Physicians Network, Inc CurrentSince Jul 19, 2024 Accepting new patients
University Pediatrics Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Aug 1, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Pediatric Housecall Services PLLC Pediatrics Past Accepting new patients
Mundelein Pediatrics, S.C. Adolescent Medicine Past Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

101 E Wt Harris Blvd
Ste 1121
Charlotte, NC 28262
Phone (704) 717-2000

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

13640 Steelecroft Pkwy
Ste 210
Charlotte, NC 28278
Phone (704) 512-6100

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

332 N Trade St
Ste 1500
Matthews, NC 28105
Phone (704) 512-6820

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

14555 W National Ave
Ste 140
New Berlin, WI 53151
Phone (262) 827-0480

Interoperability endpoints

  • Direct secure messaging: mfarhadiehmorales427334@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1740274869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 STARGAZE LN STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690802",
            "telephone_number": "704-591-7196",
            "fax_number": "847-548-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 STARGAZE LN STE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690802",
            "telephone_number": "704-591-7196",
            "fax_number": "704-464-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Branding Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155624",
            "country_code": "US",
            "telephone_number": "708-634-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARHADIEH MORALES",
        "first_name": "MANDANA",
        "name_prefix": "Dr.",
        "credential": "MD, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "02000068",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "85692",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "MD83399",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": "036103258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103258",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfarhadiehmorales237917@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.