Active NPI
CCS Express Care
- Primary Care Clinic/Center
- Indian Trail, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
- Last updated
- Jul 30, 2025
- 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
- Amanda Faulk Adams, FNP
- Title
- Owner
- Phone
- (704) 770-1862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2156776 | CCS Express Care | Certificate of waiver | Oct 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
1000 Van Buren Ave
Ste E
Indian Trail, NC 28079
Phone (704) 770-1862
1001 Van Buren Ave
Ste A
Indian Trail, NC 28079
Phone (704) 770-1862
Interoperability endpoints
- https://api.platform.athenahealth.com/20357/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Indian Trail, NC
- NPI 1750807012
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
- Carolinas Physicians Network Inc (Union Obstetrics & Gynecology)
- Carolinas Physicians Network, Inc. (The Sanger Clinic)
- Carolinas Physicians Network, Inc. (Union Endocrinology Associates)
- Lashawn N/a Carter, REGISTERED NURSE
- Theresa Isoke Cato
- Sophia Dae Ceravalo
- Charlotte Cardiology Associates, P.a (Indian Trail)
- Chavis Chiropractic Clinic of Monroe, P.a.
- Douglas Sou Chen, MD
- Martha S Cholewinski, PHARM D
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.