Individual provider Active NPI

Nada Tazi, M.D

  • Nephrology Physician
  • Concord, NC
National Provider Identifier
1801042346
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2022-01630 Issued in NC
Practice address
433 Copperfield Blvd NE
Concord, NC 28025-2405
Phone
(704) 786-7770
Fax
(704) 788-9351
NPI assigned
Aug 15, 2008
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2022-01630 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2022-01630 NC
Nephrology Physician 207RN0300X 2022-01630 NC Primary
Pulmonary Disease Physician 207RP1001X 34283 SC

Addresses

Primary practice location

433 Copperfield Blvd NE
Concord, NC 28025-2405

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone (043) 320-3967

Other practice location 1

1918 Randolph Rd Ste 580
Charlotte, NC 28207-1116
Phone (704) 384-9900

Other practice location 2

805 Pamplico Hwy Ste 300 Medical Mall B
Florence, SC 29506-2618
Phone (843) 777-7290

Other practice location 3

611 Mocksville Ave Ste 202
Salisbury, NC 28144-2738
Phone (704) 642-0823

Other names 1

  • Nada Abou Hassan Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nadatazi@mnapa.allscriptsdirect.net Direct Metrolina Nephrology Associates, PA
Direct Messaging Address nabouhassan11517@direct.musc.edu Direct
Direct Messaging Address ntazi66477@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120504000239 SC Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 2062674245 Reassigns benefits to 3 organizations
I20221004002805 NC Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2062674245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

Practice addresses (Care Compare)

433 Copperfield Blvd NE
Concord, NC 28025-2405
Phone (704) 786-7770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Jul 15, 2022 Accepting new patients
Metrolina Nephrology Associates, PA Nephrology CurrentSince Aug 28, 2023 Accepting new patients
Carolina Family Care, Inc CurrentSince Dec 12, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Carolina Family Care, Inc CurrentSince Dec 12, 2019 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Jan 30, 2022 Accepting new patients

Locations

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

3158 Freedom Dr
Ste 3102
Charlotte, NC 28208
Phone (704) 731-6857

433 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 786-7770

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

10030 Gilead Rd
Ste 300
Huntersville, NC 28078
Phone (704) 384-7972

611 Mocksville Ave
Ste 202
Salisbury, NC 28144
Phone (704) 642-0823

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Ste B300
Florence, SC 29505
Phone (843) 673-7529

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • Direct secure messaging: nabouhassan11517@direct.musc.edu
  • Direct secure messaging: nadatazi@mnapa.allscriptsdirect.net
  • Direct secure messaging: ntazi1079246@direct.novanthealth.org
  • Direct secure messaging: ntazi66477@direct.acumenmd.com

Organizations & group practices 6

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1801042346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DR STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080014",
            "telephone_number": "043-320-3967",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252405",
            "telephone_number": "704-786-7770",
            "fax_number": "704-788-9351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Randolph Rd Ste 580",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071116",
            "country_code": "US",
            "telephone_number": "704-384-9900",
            "fax_number": "704-384-9919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Pamplico Hwy Ste 300 Medical Mall B",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062618",
            "country_code": "US",
            "telephone_number": "843-777-7290",
            "fax_number": "843-777-7280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Mocksville Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442738",
            "country_code": "US",
            "telephone_number": "704-642-0823",
            "fax_number": "704-642-0884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAZI",
        "first_name": "NADA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-01630",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2022-01630",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2022-01630",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "34283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadatazi@mnapa.allscriptsdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Allscripts Direct Messaging Address",
            "affiliationName": "Metrolina Nephrology Associates, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "433 Copperfield Blvd NE",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nabouhassan11517@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "805 Pamplico Hwy Ste 300 Medical Mall B",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntazi66477@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "433 Copperfield Blvd NE",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NADA",
            "last_name": "ABOU HASSAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.