Charter Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHARTER MEDICAL GROUP

Practice address

2550 Court Dr Ste 201
Gastonia, NC 28054-2152

Phone

(803) 554-1317

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Bryant

Title

Administrator

Phone

(803) 554-1317

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1962123554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 E FRANKLIN BLVD STE 100-227",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544982",
            "telephone_number": "803-554-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 COURT DR STE 201",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542152",
            "telephone_number": "803-554-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-554-1317"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912930009",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.eclinicalworks.com",
            "affiliation": "N",
            "endpointDescription": "eClinicalworks EHR system HIE exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2550 Court Dr Ste 201",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280542152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cameron Martin Chandler, PHARMD
• Mark Edmund Chaparro, PHARM. D.
• Liliana Chapman
• Sarah Nichole Chapman
• Heidi Davies Chappell, AGPCNP-C
• Chateau Aurora, Inc. (Chateau Aurora)
• Paul Adam Cheifetz, MD
• Melissa Chen, OD
• Susan Jui Lan Chen, DMD RPH
• Patricia Cherry, LDN

• Family Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.