Organization Active NPI

Premier Sleep and Neurology

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1932698156
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9400705 Issued in NC
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

Updated by the provider on Feb 5, 2025

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 9400705 NC Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8912077MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180802000041 NC Part B Supplier - Clinic/Group Practice 2365790722 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC; Gastonia, NC; Huntersville, NC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.