Individual provider Active NPI

Carrie Khanyisa Sartor, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1750919288
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-01423 Issued in NC
Practice address
2001 Vail Ave
Ste 400
Charlotte, NC 28207-1248
Phone
(704) 304-7000
NPI assigned
Mar 30, 2020
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2023-01423 NC
Family Medicine Physician 207Q00000X 2023-01423 NC Primary

Addresses

Primary practice location

2001 Vail Ave
Ste 400
Charlotte, NC 28207-1248

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1801 Rozzelles Ferry Rd
Charlotte, NC 28208-4228
Phone (704) 446-9987

Other practice location 2

1106 Reynolds St
Ste 100
Monroe, NC 28112-4375
Phone (704) 289-5443

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address csartor431010@CarolinasHealthcareSystem.direct-ci.com Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231004001265 NC Practitioner - Family Practice 0446673529 Reassigns benefits to 2 organizations
I20240930000965 VA Practitioner - Family Practice 0446673529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Community Health CenterGroup PAC ID 5193822930, 11 clinicians

Practice addresses (Care Compare)

163 Fort Evans Rd NE
Leesburg, VA 20176-4420

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-01423NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Aug 9, 2023 Accepting new patients
Carolinas Medical Center Family Medicine Current Accepting new patients
Loudoun Community Health Center Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Aug 9, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 9, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Loudoun Community Health Center CurrentSince Aug 5, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Aug 9, 2023 Accepting new patients
Loudoun Community Health Center Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

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

1801 Rozzelles Ferry Rd
Charlotte, NC 28208
Phone (704) 446-9987

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

2001 Vail Ave
Ste 400
Charlotte, NC 28207
Phone (704) 304-7000

1106 Reynolds St
Ste 100
Monroe, NC 28112
Phone (704) 289-5443

1141 Elden St
Ste 300
Herndon, VA 20170
Phone (703) 481-8160

13800 Wall Rd
Ste 55
Herndon, VA 20171

163 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 433-2000

11484 Washington Plz W
Ste 300
Reston, VA 20190
Phone (703) 689-2180

21641 Ridgetop Cir
Ste 107
Sterling, VA 20166
Phone (703) 475-7595

21641 Ridgetop Cir
Ste 200
Sterling, VA 20166
Phone (571) 246-6283

Interoperability endpoints

  • Direct secure messaging: carrie.sartor.1@17278.direct.athenahealth.com
  • Direct secure messaging: csartor431010@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1750919288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VAIL AVE",
            "address_2": "STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071248",
            "telephone_number": "704-304-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Rozzelles Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282084228",
            "country_code": "US",
            "telephone_number": "704-446-9987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Reynolds St",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281124375",
            "country_code": "US",
            "telephone_number": "704-289-5443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTOR",
        "first_name": "CARRIE",
        "middle_name": "KHANYISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "2023-01423",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-01423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csartor431010@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "2001 Vail Ave",
            "address_2": "Ste 400",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.