Charlotte Eye Ear Nose & Throat Associates, P.a.
Organization Active NPI Otolaryngology Physician · Kernersville, NC
NPI 1871420554 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1871420554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- Legal business name
- CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, P.A.
- Practice address
- 280 Broad St Ste B
Kernersville, NC 27284-2948 - Phone
- (336) 993-2366
- Fax
- (336) 993-4158
- NPI assigned
- May 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Gregory Stokes Parsons, MD
- Title
- Ceo
- Phone
- (704) 295-3000
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031203000519 | NC | Part B Supplier - Clinic/Group Practice | 0446155451 |
Receives reassigned benefits from 170 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monroe, NC; Statesville, NC; Salisbury, NC; Pineville, NC; Mooresville, NC; Matthews, NC; Huntersville, NC; Charlotte, NC… |
National Provider Directory
- Tax ID family
- Charlotte Eenthroat Asoc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | Yes |
Addresses
Primary practice location
280 Broad St Ste B
Kernersville, NC 27284-2948
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000
NPI Registry JSON
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1871420554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103256",
"telephone_number": "704-295-3000",
"fax_number": "704-838-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 BROAD ST STE B",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842948",
"telephone_number": "336-993-2366",
"fax_number": "336-993-4158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "PARSONS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "STOKES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-295-3000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
- Aeryal Cristianna Ceaser
- Lindsay Cepeda
- Jessica Chambers
- Charity H Hatampa DDS PLLC
- Akevia Charleston
- Lyric T Chavis
- Maya Chevalier
- Ebony Childress
- Jonathan Chin
- Chosen Hands Home Health
All providers in Kernersville, NC · Otolaryngology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.