Organization Active NPI

Pinnacle Life Innovations LLC

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1790506673
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PINNACLE LIFE INNOVATIONS LLC
Practice address
6926 Shannon Willow Rd Ste 100
Charlotte, NC 28226-1335
Phone
(279) 786-7439
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mr. Kamoliddin Najmiddinov
Title
President
Phone
(279) 786-7439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6926 Shannon Willow Rd Ste 100
Charlotte, NC 28226-1335

Mailing address

6926 Shannon Willow Rd Ste 100
Charlotte, NC 28226-1335
Phone (279) 786-7439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826001940 NC DME Supplier - Medical Supply Company 9032619754 Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pinnacle Life Innovations LLC6926 Shannon Willow Rd, Charlotte, NC 28226-1335(302) 202-7777 Orthoses: Off-The-Shelf|Surgical Dressings|External Electrical Stimulation Devices (Not Otherwise Classified) Accepts assignmentParticipating since Jul 8, 2025

National Provider Directory

National Provider Directory

Locations

6926 Shannon Willow Rd
Ste 100
Charlotte, NC 28226
Phone (279) 786-7439

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1790506673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 SHANNON WILLOW RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261335",
            "telephone_number": "279-786-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 SHANNON WILLOW RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261335",
            "telephone_number": "279-786-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE LIFE INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "NAJMIDDINOV",
        "authorized_official_first_name": "KAMOLIDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "279-786-7439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.