Individual provider Active NPI

Carla Rae Nordstrom, MD

  • Pulmonary Disease Physician
  • Charlotte, NC
National Provider Identifier
1982653192
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2017-02055 Issued in NC
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

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100820000077 NH Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7012810849 Reassigns benefits to 2 organizations
I20170413000585 VA Practitioner - Critical Care (Intensivists) 7012810849 Reassigns benefits to 1 organization
I20171108002068 NC Practitioner - Internal Medicine 7012810849 Reassigns benefits to 3 organizations
I20260612000469 GA Practitioner - Critical Care (Intensivists) 7012810849 Reassigns benefits to 1 organization

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
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Scotland Regional Health NetworkGroup PAC ID 2365573185, 67 clinicians
Littleton Hospital AssociationGroup PAC ID 6901796556, 111 clinicians

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 Hospital, Littleton, NH, CCN 301302
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021
  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-02055NCMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association Current Accepting new patients
Scotland Regional Health Network CurrentSince Aug 10, 2025 Accepting new patients
Littleton Hospital Association CurrentSince Dec 2, 2019 Accepting new patients
Carolinas Medical Center Critical Care Medicine CurrentSince Aug 28, 2017 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jan 18, 2026 Accepting new patients
Littleton Hospital Association CurrentSince Dec 2, 2019 Accepting new patients
Vibra Physicians LLC CurrentSince Mar 1, 2017 Accepting new patients
Carolinas Medical Center CurrentSince Aug 28, 2017 Accepting new patients
Scotland Regional Health Network CurrentSince Aug 10, 2025 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.