Active NPI
Richard Daniel Bates Jr., FNP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201249
- Practice address
- 9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930 - Phone
- (704) 526-3648
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 42165 | TN | |
| Family Nurse Practitioner | 363LF0000X | 4060570 | KY | |
| Nurse Practitioner | 363L00000X | 201249 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 201249 | NC |
Addresses
Primary practice location
9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Mailing address
9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.46 of 100
- Quality
- 80.45
- Improvement activities
- 40
- Cost
- 87.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201249 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telos Health Systems NC PLLC | Current | Accepting new patients | |
| Charlotte Primary Care, PA | Past | Accepting new patients | |
| Physicians Eldercare PA | Past | Accepting new patients | |
| Charlotte Lung and Health Center | Past | Accepting new patients |
Locations
550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797
1000 College St
Wilkesboro, NC 28697
Phone (336) 838-4141
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1265064414
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1780477729
NC
-
- Pulmonary Disease Physician
- Charlotte, NC
- NPI 1629037965
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1790762284
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1891754800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9841 NORTHLAKE CENTRE PKWY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168930",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9841 NORTHLAKE CENTRE PKWY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168930",
"telephone_number": "704-526-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "RICHARD",
"middle_name": "DANIEL",
"name_suffix": "Jr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "42165",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4060570",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "201249",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.