Organization Active NPI

Pure Cardiology, PLLC

  • Medical Specialty Clinic/Center
  • Waxhaw, NC
National Provider Identifier
1780067207
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
200300531 Issued in NC
Legal business name
PURE CARDIOLOGY, PLLC
Practice address
102 Waxhaw Professional Park Dr Ste C-500
Waxhaw, NC 28173-5024
Phone
(704) 233-7449
Fax
(980) 322-0647
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Dr. Christopher George Stephenson, MDNPI 1477666501
Title
Owner
Phone
(704) 233-7449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 200300531 NC Primary

Addresses

Primary practice location

102 Waxhaw Professional Park Dr Ste C-500
Waxhaw, NC 28173-5024

Mailing address

1731 Funny Cide Dr
Waxhaw, NC 28173-8294
Phone (704) 233-7449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150806011639 NC Part B Supplier - Clinic/Group Practice 1759695596 Receives reassigned benefits from 1 practitioner
Practice locations: Waxhaw, NC

National Provider Directory

National Provider Directory

Locations

7825 Ballantyne Commons Pkwy
Ste 360
Charlotte, NC 28277
Phone (704) 233-7449

102 Waxhaw Professional Park Dr
Ste C500
Waxhaw, NC 28173
Phone (704) 233-7449

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1780067207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 FUNNY CIDE DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738294",
            "telephone_number": "704-233-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WAXHAW PROFESSIONAL PARK DR STE C-500",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735024",
            "telephone_number": "704-233-7449",
            "fax_number": "980-322-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-233-7449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "200300531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.