Active NPI
Premier Sleep and Neurology
- Neurology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 9400705
- Legal business name
- PREMIER SLEEP AND NEUROLOGY
- Practice address
- 10009 Park Cedar Dr Ste 100
Charlotte, NC 28210-8935 - Phone
- (704) 412-7859
- Fax
- (833) 973-4534
- NPI assigned
- May 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert L McClain
- Title
- Manager
- Phone
- (704) 412-7859
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 9400705 | NC | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X |
Addresses
Primary practice location
10009 Park Cedar Dr Ste 100
Charlotte, NC 28210-8935
Mailing address
10009 Park Cedar Dr Ste 100
Charlotte, NC 28210-8935
Phone (704) 412-7859
Other practice location 1
111 Commerce Centre Dr Ste 304
Huntersville, NC 28078-5805
Phone (704) 412-7859
Other practice location 2
1536 Union Rd Ste C
Gastonia, NC 28054-2204
Phone (704) 412-7859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8912077 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1536 Union Rd
Ste C
Gastonia, NC 28054
Phone (704) 861-0271
1536 Union Rd
Gastonia, NC 28054
111 Commerce Centre Dr
Ste 400
Huntersville, NC 28078
304 Commerce Centre Dr
Ste 304
Huntersville, NC 28078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Charlotte, NC
- NPI 1306896592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1932698156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10009 PARK CEDAR DR STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108935",
"telephone_number": "704-412-7859",
"fax_number": "833-973-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10009 PARK CEDAR DR STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108935",
"telephone_number": "704-412-7859",
"fax_number": "833-973-4534"
}
],
"practiceLocations": [
{
"address_1": "111 Commerce Centre Dr Ste 304",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280785805",
"country_code": "US",
"telephone_number": "704-412-7859",
"fax_number": "833-973-4534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1536 Union Rd Ste C",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542204",
"country_code": "US",
"telephone_number": "704-412-7859",
"fax_number": "833-973-4534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREMIER SLEEP AND NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-02",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "MCCLAIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "704-412-7859"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "9400705",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912077",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Premier Home Health Care Services, Inc.
- Premier Imaging Group, P.a.
- Premier Nursing Staffing Agency LLC
- Premier Pharmacy and Wellness Center LLC
- Premier Pharmacy and Wellness Center LLC
- Premier Sleep Services, LLC
- Premier Spine Pain & Rehabilitation
- Premiere Speech Therapy Services, Inc.
- Premise Health of North Carolina Medical PC (Premise Health Clinic)
- Premise Health of North Carolina Medical PC (Duke Energy - Charlotte, NC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.