NPIMap

Individual provider Active NPI

Thad Aaron Clements, M.D.

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1982676565
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98-00816 Issued in NC
Practice address
108 Providence Rd
Charlotte, NC 28207-1218
Phone
(336) 481-8655
Fax
(336) 277-9165
NPI assigned
Feb 7, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98-00816 NC Primary

Addresses

Primary practice location

108 Providence Rd
Charlotte, NC 28207-1218

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

8310 University Exec Park Dr
Suite 550
Charlotte, NC 28262-3383
Phone (704) 384-1225

Other practice location 2

8420 University Exec Park Dr Ste 850
Charlotte, NC 28262-1308
Phone (704) 384-1225

Other identifiers 1

IdentifierTypeStateIssuer
8911653MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tclements20615@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000184 NC Practitioner - Family Practice 8426183781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

1420 E Franklin St
Monroe, NC 28112-5160
Phone (704) 289-8427

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179
Phone (980) 302-8850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-00816NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Dec 3, 2019 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince May 1, 2000 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2000 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
NH Digital Health Services, LLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Liberty Healthcare Group LLC Past Accepting new patients

Locations

108 Providence Rd
Charlotte, NC 28207
Phone (336) 277-3431

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

6324 Fairview Rd
Ste 310
Charlotte, NC 28210
Phone (704) 316-6565

8310 University Exec Park Dr
Ste 550
Charlotte, NC 28262
Phone (704) 384-0684

8401 Medical Plaza Dr
Ste 250
Charlotte, NC 28262
Phone (704) 384-1500

8420 University Exec Park Dr
Ste 850
Charlotte, NC 28262
Phone (704) 316-3850

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

1420 E Franklin St
Monroe, NC 28112
Phone (704) 289-8427

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: tclements20615@direct.novanthealth.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liberty Commons Nursing and Rehabilitation Center of Matthews LLCMatthews, NC, CCN 345026 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Dec 5, 2025
Willowbrooke Court SC Ctr at Matthews GlenMatthews, NC, CCN 345326 Skilled nursing facility Adp of the SNF Sep 17, 2021
Wilora Lake HealthcareCharlotte, NC, CCN 345473 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1982676565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071218",
            "telephone_number": "336-481-8655",
            "fax_number": "336-277-9165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8310 University Exec Park Dr",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623383",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "fax_number": "704-384-1226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8420 University Exec Park Dr Ste 850",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621308",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "fax_number": "704-384-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "THAD",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "98-00816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911653",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tclements20615@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8310 University Exec Park Dr",
            "address_2": "Suite 550",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282623383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.