Active NPI
Robert Patrick Poetta, MD
- Family Medicine Physician
- Concord, NC
National Provider Identifier
1790076412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2014-01051
- Practice address
- 270 Copperfield Blvd NE
Ste 102
Concord, NC 28025-2441 - Phone
- (704) 786-6521
- NPI assigned
- Apr 28, 2011
- Last updated
- Feb 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2014-01051 | NC | Primary |
| Hospitalist Physician | 208M00000X | 2014-01051 | NC |
Addresses
Primary practice location
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025-2441
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
8560 Cook St
Mount Pleasant, NC 28124-7686
Phone (704) 436-6521
Other practice location 2
123 Professional Park Dr
Locust, NC 28097-7712
Phone (704) 403-6760
Other practice location 3
4315 Physicians Blvd
Ste 101
Harrisburg, NC 28075-7430
Phone (704) 455-6521
Other practice location 4
5641 Poplar Tent Rd
Ste 101
Concord, NC 28027-7533
Phone (704) 782-1955
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rpoetta128850@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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-01051 | NC | MD | Hospitalist Physician |
Interoperability endpoints
- rpoetta128850@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1790076412",
"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": "270 COPPERFIELD BLVD NE",
"address_2": "STE 102",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252441",
"telephone_number": "704-786-6521"
}
],
"practiceLocations": [
{
"address_1": "8560 Cook St",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "NC",
"postal_code": "281247686",
"country_code": "US",
"telephone_number": "704-436-6521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "123 Professional Park Dr",
"address_purpose": "LOCATION",
"city": "Locust",
"state": "NC",
"postal_code": "280977712",
"country_code": "US",
"telephone_number": "704-403-6760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4315 Physicians Blvd",
"address_2": "STE 101",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "NC",
"postal_code": "280757430",
"country_code": "US",
"telephone_number": "704-455-6521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5641 Poplar Tent Rd",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280277533",
"country_code": "US",
"telephone_number": "704-782-1955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POETTA",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-28",
"last_updated": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2014-01051",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2014-01051",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rpoetta128850@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "270 Copperfield Blvd NE",
"address_2": "Ste 102",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280252441",
"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 Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.