Charly Mott, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5017046 Issued in NC

Practice address

212 Allendale Dr
Forest City, NC 28043-2889

Phone

(828) 245-7626

NPI assigned

Oct 12, 2022

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Group practices

T4 Medical PLLCGroup PAC ID 0244769156, 30 clinicians

Pain Management Plus PLLCGroup PAC ID 3870823859, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBAIBD

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.

• Pain Management Plus PLLC

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1215596135
  Medicare reassignment Care Compare group NPD
• T4 Medical PLLC

  • Family Medicine Physician
  • Boone, NC
  • NPI 1699546861
  Medicare reassignment Care Compare group NPD
• DLP Rutherford Physician Practices LLC

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1962821322
  Medicare reassignment NPD
• Pai Participant 29, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lexington, NC
  • NPI 1245813757
  Medicare reassignment NPD
• DLP Rutherford Physician Practices LLC

  dba Rutherford Family Care

  • Rural Health Clinic/Center
  • Rutherfordton, NC
  • NPI 1720849391
  NPD
• St. Luke's Hospital Inc.

  • Critical Access Hospital
  • Columbus, NC
  • NPI 1497944912
  NPD
• St. Luke's Hospital Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Columbus, NC
  • NPI 1760526586
  NPD
• DLP Rutherford Physician Practices LLC

  dba Rutherford Orthopaedics

  • Orthopaedic Surgery Physician
  • Rutherfordton, NC
  • NPI 1275943698
  NPD (past)

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

• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • General Acute Care Hospital
  • Rutherford College, NC
  • NPI 1306821798
  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • Hematology & Oncology Physician
  • Morganton, NC
  • NPI 1417000837

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba CMC Blue Ridge

  • Hematology & Oncology Physician
  • Valdese, NC
  • NPI 1487707964

  Hospital

  Care Compare affiliation
• Blue Ridge Healthcare Hospitals, Inc.

  dba UNC Health Blue Ridge

  • General Acute Care Hospital
  • Morganton, NC
  • NPI 1700860491
  Care Compare affiliation

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1992421853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ALLENDALE DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432889",
            "telephone_number": "828-245-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ALLENDALE DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432889",
            "telephone_number": "828-245-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "CHARLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5017046",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Tyler Moore, NRP
• Morganton Eye Physicians, P.a.
• Morganton Eye Physicians, P.a.
• John Andrew Morris, D.C.
• Samantha Lyn Morrison, MA/EDS, LPCA
• Mountain Laurel Midwifery Associates PA (Mountain Laurel Women's Health Care P.A.)
• Jennifer Marie Myers, FNP-C
• National Vision, Inc.
• Julia A Nelson, LCMHA, LMFT
• New Alternatives Inc

• Family Nurse Practitioner in Forest City, NC
• Providers in Forest City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.