Organization Active NPI

Nephrology and Hypertension Consultants,PA

  • Specialist
  • Charlotte, NC
National Provider Identifier
1982700258
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39726 Issued in NC
Legal business name
NEPHROLOGY AND HYPERTENSION CONSULTANTS,PA
Practice address
8401 University Exec Park Dr Ste 123
Charlotte, NC 28262-1358
Phone
(704) 503-4400
NPI assigned
Sep 15, 2006
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Connie Marie Carlucci
Title
Office MGR
Phone
(704) 503-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39726 NC Primary

Addresses

Primary practice location

8401 University Exec Park Dr Ste 123
Charlotte, NC 28262-1358

Mailing address

8401 University Exec Park Dr Ste 123
Charlotte, NC 28262-1358
Phone (704) 503-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060203000239 NC Part B Supplier - Clinic/Group Practice 4880608314 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

8220 University Exec Park Dr
Ste 125
Charlotte, NC 28262
Phone (704) 503-4400

8401 University Exec Park Dr
Ste 123
Charlotte, NC 28262
Phone (704) 503-4400

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1982700258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXEC PARK DR STE 123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621358",
            "telephone_number": "704-503-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXEC PARK DR STE 123",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621358",
            "telephone_number": "704-503-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY AND HYPERTENSION CONSULTANTS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "CARLUCCI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "704-503-4400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "39726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.