Individual provider Active NPI

Jason W. Todd, MD

  • Neurology Physician
  • Huntersville, NC
National Provider Identifier
1780656751
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
200400988 Issued in NC
Practice address
16645 Birkdale Commons Pkwy
Ste 200 G
Huntersville, NC 28078-5669
Phone
(704) 302-8555
NPI assigned
Feb 3, 2006
Sex
Male
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 200400988 NC
Vascular Neurology Physician 2084V0102X 200400988 NC
Neurology Physician 2084N0400X 200400988 NC Primary

Addresses

Primary practice location

16645 Birkdale Commons Pkwy
Ste 200 G
Huntersville, NC 28078-5669

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1601 Abbey Pl
Ste 200
Charlotte, NC 28209-3835
Phone (704) 512-2980

Other practice location 2

447 McAlister Rd
Ste 2400
Lincolnton, NC 28092-4114
Phone (704) 302-8555

Other practice location 3

441 McAlister Rd
Lincolnton, NC 28092-4126
Phone (704) 302-8555

Other practice location 4

825 E King St
Kings Mountain, NC 28086-3186
Phone (704) 510-9900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtodd136945@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000896 NC Practitioner - Sleep MedicinePractitioner - Neurology 9133109671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

16645 Birkdale Commons Pkwy
Huntersville, NC 28078-5669

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166
  • Carolinas Rehabilitation Inpatient rehabilitation facility, Charlotte, NC, CCN 343026

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 15, 2013 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 1, 2013 Accepting new patients
Carolinas Physicians Network Inc Neurology CurrentSince Jan 15, 2013 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Neurology CurrentSince Dec 1, 2013 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

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

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

1601 Abbey Pl
Ste 200
Charlotte, NC 28209
Phone (704) 510-9900

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650

16455 Statesville Rd
Ste 360
Huntersville, NC 28078
Phone (704) 801-3300

16645 Birkdale Commons Pkwy
Ste 200
Huntersville, NC 28078
Phone (704) 302-8320

825 E King St
Kings Mountain, NC 28086
Phone (704) 510-9900

441 McAlister Rd
Lincolnton, NC 28092
Phone (980) 212-4000

447 McAlister Rd
Ste 2400
Lincolnton, NC 28092
Phone (980) 212-6500

8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911

Interoperability endpoints

  • Direct secure messaging: jtodd136945@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1780656751",
    "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": "16645 BIRKDALE COMMONS PKWY",
            "address_2": "STE 200 G",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785669",
            "telephone_number": "704-302-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Abbey Pl",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093835",
            "country_code": "US",
            "telephone_number": "704-512-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 McAlister Rd",
            "address_2": "Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924114",
            "country_code": "US",
            "telephone_number": "704-302-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 McAlister Rd",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924126",
            "country_code": "US",
            "telephone_number": "704-302-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 E King St",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280863186",
            "country_code": "US",
            "telephone_number": "704-510-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "JASON",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NC",
            "license": "200400988",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NC",
            "license": "200400988",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200400988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtodd136945@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "16645 Birkdale Commons Pkwy",
            "address_2": "Ste 200 G",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280785669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.