Active NPI
Carla Rae Nordstrom, MD
- Pulmonary Disease Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2017-02055
- Practice address
- 1350 S Kings Dr
Charlotte, NC 28207-2134 - Phone
- (704) 446-4490
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2017-02055 | NC | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 2017-02055 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 2017-02055 | NC | Primary |
Addresses
Primary practice location
1350 S Kings Dr
Charlotte, NC 28207-2134
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
Other practice location 2
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 291-6904
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cnordstrom310929@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VA, NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical College of Pennsylvania, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-5000
201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3000
301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 894-4000
433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (980) 212-2000
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 277-9164
580 Saint Johnsbury Rd
Littleton, NH 03561-3437
Phone (603) 444-7070
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
Hospital & facility affiliations
- Littleton Regional Healthcare
- Atrium Health Cleveland
- Atrium Health Lincoln
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-02055 | NC | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Hospital Association | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Carolinas Medical Center | Critical Care Medicine | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Intensivist Group of Pennsylvania, PC | Critical Care Medicine | Past | Accepting new patients |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Locations
5 E River Park Pl E
Ste 460
Fresno, CA 93720
100 N 6th St
Ste 900A
Minneapolis, MN 55403
329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100
173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000
580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385
8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063
2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000
Interoperability endpoints
- cnordstrom310929@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Hospitalist Physician
- Laurinburg, NC
- NPI 1972829562
-
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Neonatal-Perinatal Medicine Physician
- Rome, GA
- NPI 1992814586
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Critical Care Medicine
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Durable Medical Equipment & Medical Supplies
- Littleton, NH
- NPI 1174398846
-
- Rural Health Clinic/Center
- Littleton, NH
- NPI 1811944523
-
- Surgery Physician
- Bennettsville, SC
- NPI 1942962113
-
- Critical Care Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1609825801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
-
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1982653192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072134",
"telephone_number": "704-446-4490"
}
],
"practiceLocations": [
{
"address_1": "304 Turner McCall Blvd SW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301655621",
"country_code": "US",
"telephone_number": "706-509-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Lauchwood Dr",
"address_purpose": "LOCATION",
"city": "Laurinburg",
"state": "NC",
"postal_code": "283525501",
"country_code": "US",
"telephone_number": "910-291-6904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORDSTROM",
"first_name": "CARLA",
"middle_name": "RAE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2017-02055",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NC",
"license": "2017-02055",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "2017-02055",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnordstrom310929@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1350 S Kings Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282072134",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.