Organization Active NPI

CCS Express Care

  • Primary Care Clinic/Center
  • Indian Trail, NC
National Provider Identifier
1982178091
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CCS EXPRESS CARE
Practice address
1001 Van Buren Ave Ste a
Indian Trail, NC 28079-5584
Phone
(704) 770-1862
Fax
(704) 879-3313
NPI assigned
Jan 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Amanda Faulk Adams, FNP
Title
Owner
Phone
(704) 770-1862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1001 Van Buren Ave Ste a
Indian Trail, NC 28079-5584

Mailing address

2633 Beulah Church Rd
Weddington, NC 28104-9211
Phone (704) 770-1862

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2156776CCS Express Care1001 Van Buren Avenue, Suite a, Indian Trail, NC 28079Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

1001 Van Buren Ave
Ste A
Indian Trail, NC 28079
Phone (704) 770-1862

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20357/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1982178091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 BEULAH CHURCH RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049211",
            "telephone_number": "704-770-1862",
            "fax_number": "704-879-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE STE A",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795584",
            "telephone_number": "704-770-1862",
            "fax_number": "704-879-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCS EXPRESS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "FAULK ADAMS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-770-1862",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.