NPIMap

Individual provider Active NPI

Miranda Faith Pearson

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1912548934
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PEAR-VC1DZZ Issued in NC
Practice address
13521 Steelecroft Pkwy Ste B
Charlotte, NC 28278-7889
Phone
(704) 315-5845
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PEAR-VC1DZZ NC Primary

Addresses

Primary practice location

13521 Steelecroft Pkwy Ste B
Charlotte, NC 28278-7889

Mailing address

13521 Steelecroft Pkwy Ste B
Charlotte, NC 28278-7889
Phone (704) 315-5845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713001948 NC Practitioner - Nurse Practitioner 0345621017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

1085 NE Gateway CT NE
Suite 330
Concord, NC 28025-2450
Phone (704) 403-8320

1100 Healing Way
Suite 21C
Matthews, NC 28104-4951
Phone (980) 993-1780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PEAR-VC1DZZNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Apr 7, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Apr 7, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 7, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 7, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 31, 2022 Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1085 NE Gateway Ct NE
Ste 330
Concord, NC 28025
Phone (704) 403-8320

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

1100 Healing Way
Ste 21C
Matthews, NC 28104
Phone (980) 993-1780

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: mpearson18707@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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 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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1912548934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 STEELECROFT PKWY STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787889",
            "telephone_number": "704-315-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 STEELECROFT PKWY STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787889",
            "telephone_number": "704-315-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MIRANDA",
        "middle_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "PEAR-VC1DZZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.