Verifi Charlotte LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VERIFI CHARLOTTE LLC

Practice address

1909 J N Pease PL Ste 104
Charlotte, NC 28262-4561

Phone

(980) 201-2290

Fax

(980) 414-6014

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Shaka-Con DavisNPI 1043997968

Title

Director/Owner

Phone

(980) 785-8566

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaka-Con Davis

  • Prevention Professional
  • Charlotte, NC
  • NPI 1043997968
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1942060223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624561",
            "telephone_number": "980-201-2290",
            "fax_number": "980-414-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624561",
            "telephone_number": "980-201-2290",
            "fax_number": "980-414-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIFI CHARLOTTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHAKA-CON",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "980-785-8566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Nicole Vera, PNP-PC
• Natalia Verbytska
• Buffy A. Veres, CRNA
• Mindy Benton Vergakis, LCSW
• David A Verhaagen, PH.D.
• Verimed, LLC
• Sarah Mulkey Verink, PA
• Veritas Collaborative Charlotte, LLC (The Emily Program)
• Veritas Collaborative Charlotte, LLC (The Emily Program)
• Fred Donald Vermeulen, MD

• Health Service Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.