NPIMap

Individual provider Active NPI

Lisa Jeannette Carlin, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1932419140
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02552 Issued in NC
Practice address
2325 W Arbors Dr Ste 201
Charlotte, NC 28262-2664
Phone
(704) 295-3500
Fax
(704) 295-3468
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02552 NC Primary

Addresses

Primary practice location

2325 W Arbors Dr Ste 201
Charlotte, NC 28262-2664

Mailing address

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Other practice location 1

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lcarlin530027@direct.novanthealth.org
Direct Messaging Address credentialing@ceenta.com

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
I20101119000095 NC Practitioner - Physician Assistant 1850587692 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

1237 Harding PL
Suite 2400
Charlotte, NC 28204-2826
Phone (704) 304-5760

2325 W Arbors Dr
Suite 201
Charlotte, NC 28262-2664
Phone (704) 295-3500

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.15 of 100Reported as group
Quality
81.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-02552NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Physician Assistant CurrentSince Feb 24, 2024 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Feb 24, 2024 Accepting new patients
Ballantyne Emergency Physicians PLLC CurrentSince Aug 15, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 11, 2011 Accepting new patients
Union Urgent Care LLC Past Accepting new patients

Locations

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

2325 W Arbors Dr
Ste 201
Charlotte, NC 28262
Phone (704) 295-3500

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

400 E Brooklyn Village Ave
Ste A1
Charlotte, NC 28202
Phone (704) 295-3110

645 Amalia St NE
Concord, NC 28025
Phone (704) 295-3255

Interoperability endpoints

  • Direct secure messaging: lcarlin38209@direct.ceenta.com
  • Direct secure messaging: lcarlin530027@direct.novanthealth.org
  • Direct secure messaging: lcarlin128671@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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 11

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1932419140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103256",
            "telephone_number": "704-295-3000",
            "fax_number": "704-838-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W ARBORS DR STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622664",
            "telephone_number": "704-295-3500",
            "fax_number": "704-295-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Matthews Township Pkwy",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281054656",
            "country_code": "US",
            "telephone_number": "704-384-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "LISA",
        "middle_name": "JEANNETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcarlin530027@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1500 Matthews Township Pkwy",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@ceenta.com",
            "affiliation": "N",
            "address_1": "2325 W Arbors Dr Ste 201",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282622664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.