Individual provider Active NPI

George M Hart, MD

  • Nephrology Physician
  • Charlotte, NC
National Provider Identifier
1881647634
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
39949 Issued in NC
Practice address
2711 Randolph Rd
BLDG 400
Charlotte, NC 28207-2027
Phone
(704) 348-2992
Fax
(704) 334-3061
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 39949 NC Primary

Addresses

Primary practice location

2711 Randolph Rd
BLDG 400
Charlotte, NC 28207-2027

Mailing address

1300 Baxter St Ste 215
Charlotte, NC 28204-3106
Phone (704) 332-0366

Other identifiers 2

IdentifierTypeStateIssuer
N39949MedicaidSC
89-4016AMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address georgehart@mnapa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20070525000409 NC Practitioner - NephrologyPractitioner - Internal Medicine 5799882742 Reassigns benefits to 2 organizations
I20221122003561 SC Practitioner - Nephrology 5799882742 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2007 Accepting new patients
Metrolina Nephrology Associates, PA Nephrology CurrentSince Jul 1, 1992 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Charlotte Radiology P a Past Accepting new patients

Locations

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

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

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

1300 Baxter St
Ste 215
Charlotte, NC 28204

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

1640 Campus Park Dr
Ste C
Monroe, NC 28112
Phone (704) 226-0366

1975 Carolna Place Dr
Fort Mill, SC 29708
Phone (803) 802-3027

505A S Pearl St
Pageland, SC 29728
Phone (843) 672-3491

Organizations & group practices 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1881647634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043106",
            "telephone_number": "704-332-0366",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "BLDG 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-348-2992",
            "fax_number": "704-334-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "39949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N39949",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-4016A",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "georgehart@mnapa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Direct Messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "2711 Randolph Rd",
            "address_2": "Bldg 400",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282072027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.