NPIMap

Individual provider Active NPI

Charles Edwin Stoddard III, MD

  • Nephrology Physician
  • Concord, NC
National Provider Identifier
1902900301
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200400604 Issued in NC
Practice address
433 Copperfield Blvd NE
Concord, NC 28025-2405
Phone
(704) 786-7770
Fax
(704) 788-9351
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 200400604 NC Primary

Addresses

Primary practice location

433 Copperfield Blvd NE
Concord, NC 28025-2405

Mailing address

3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone (704) 971-7099

Other identifiers 4

IdentifierTypeStateIssuer
144A6OtherBCBS
1624358OtherCIGNA HEALTHCARE
5906397MedicaidNC
807633OtherPARTNERS MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cstoddard66171@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050217000377 NC Practitioner - NephrologyPractitioner - Internal Medicine 8325090343 Reassigns benefits to 1 organization
I20221118002554 SC Practitioner - NephrologyPractitioner - Internal Medicine 8325090343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

Practice addresses (Care Compare)

433 Copperfield Blvd NE
Concord, NC 28025-2405
Phone (704) 786-7770

505 A S Pearl St
Pageland, SC 29728-2222
Phone (704) 348-2992

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400604NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Nephrology Associates, PA Nephrology CurrentSince Jan 1, 2013 Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients

Locations

105 Yadkin St
Ste 202
Albemarle, NC 28001
Phone (704) 986-6906

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

433 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 786-7770

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

611 Mocksville Ave
Ste 202
Salisbury, NC 28144
Phone (704) 642-0823

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

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

Interoperability endpoints

  • Direct secure messaging: cstoddard66171@direct.acumenmd.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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1902900301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 FREEDOM DR STE 3102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282080014",
            "telephone_number": "704-971-7099",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252405",
            "telephone_number": "704-786-7770",
            "fax_number": "704-788-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200400604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "144A6",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "1624358",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906397",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS  MEDICARE",
            "identifier": "807633",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstoddard66171@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "433 Copperfield Blvd NE",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.