NPIMap

Individual provider Active NPI

Sandy Charles Van Every, PA-C

  • Medical Physician Assistant
  • Charlotte, NC
National Provider Identifier
1891078754
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-06874 Issued in NC
Practice address
2711 Randolph Rd Ste 305
Charlotte, NC 28207-2027
Phone
(704) 334-0600
Fax
(704) 334-0615
NPI assigned
Sep 27, 2011
Last updated
Feb 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-06874 NC Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 305
Charlotte, NC 28207-2027

Mailing address

2711 Randolph Rd Ste 305
Charlotte, NC 28207-2027
Phone (704) 334-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY, OK, SC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170213000755 NC Practitioner - Physician Assistant 7416230735 Reassigns benefits to 1 organization
I20200820001263 NY Practitioner - Physician Assistant 7416230735 Reassigns benefits to 1 organization
I20201113000481 OK Practitioner - Physician Assistant 7416230735
I20220610002286 SC Practitioner - Physician Assistant 7416230735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospitalist Solution PLLCGroup PAC ID 1759630510, 12 clinicians

Practice addresses (Care Compare)

10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-8050

1330 Taylor St
FL 7
Columbia, SC 29201-2915
Phone (803) 296-3701

338 S Sharon Amity Rd
Suite 326
Charlotte, NC 28211-2806
Phone (704) 502-8570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023140NYMDPsychologist
0010-06874NCMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: svanevery728409@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1891078754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-334-0600",
            "fax_number": "704-334-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-334-0600",
            "fax_number": "704-334-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EVERY",
        "first_name": "SANDY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.