Organization Active NPI

Planned Parenthood South Atlantic

  • Women's Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1861538175
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
PLANNED PARENTHOOD SOUTH ATLANTIC
Practice address
700 S Torrence St
Charlotte, NC 28204-2928
Phone
(919) 833-7526
Fax
(919) 390-1384
NPI assigned
Jan 30, 2007
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Karl Leville
Title
Cfo
Phone
(919) 833-7526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

700 S Torrence St
Charlotte, NC 28204-2928

Mailing address

100 S Boylan Ave
Raleigh, NC 27603-1802
Phone (919) 833-7534

Other identifiers 1

IdentifierTypeStateIssuer
5903559MedicaidNC

Other names 1

  • Planned Parenthood South Atlantic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Health Systems17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

4822 Albemarle Rd
Ste 103
Charlotte, NC 28205
Phone (980) 207-0072

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1861538175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7534",
            "fax_number": "919-833-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TORRENCE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042928",
            "telephone_number": "919-833-7526",
            "fax_number": "919-390-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SOUTH ATLANTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "LEVILLE",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-833-7526"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903559",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood South Atlantic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.