Individual provider Active NPI

Thomas B. McElwee, M.D.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1790761310
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25625 Issued in NC
Practice address
2001 Vail Ave Ste 320
Charlotte, NC 28207-1222
Phone
(704) 364-8100
Fax
(704) 365-2073
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25625 NC Primary

Addresses

Primary practice location

2001 Vail Ave Ste 320
Charlotte, NC 28207-1222

Mailing address

PO Box 33369
Charlotte, NC 28233-3369
Phone (704) 364-8100

Other identifiers 1

IdentifierTypeStateIssuer
8956503MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25625NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Charlotte, P.a. Surgery CurrentSince Mar 26, 1997 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Carolinas Medical Center - University Past Accepting new patients
Charlotte Trauma Services, PLLC Past Accepting new patients

Locations

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

1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005

2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

1450 Matthews Township Pkwy
Ste 360
Matthews, NC 28105
Phone (704) 358-0308

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1790761310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33369",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282333369",
            "telephone_number": "704-364-8100",
            "fax_number": "704-365-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VAIL AVE STE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071222",
            "telephone_number": "704-364-8100",
            "fax_number": "704-365-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELWEE",
        "first_name": "THOMAS",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "25625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8956503",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.