Organization Active NPI

Children'S Urology of the Carolinas

  • Specialist
  • Charlotte, NC
National Provider Identifier
1992720932
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38823 Issued in NC
Legal business name
CHILDREN'S UROLOGY OF THE CAROLINAS
Practice address
230 Baldwin Ave
Charlotte, NC 28204-3110
Phone
(704) 376-5636
Fax
(704) 376-5636
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Meredith G Ramirez
Title
Office Manager
Phone
(704) 376-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 38823 NC Primary

Addresses

Primary practice location

230 Baldwin Ave
Charlotte, NC 28204-3110

Mailing address

230 Baldwin Ave
Charlotte, NC 28204-3110
Phone (704) 376-5636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090708000433 NC Part B Supplier - Clinic/Group Practice 8921104183 Receives reassigned benefits from 2 practitioners
Practice locations: Charlotte, NC; Kannapolis, NC; Salisbury, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0995897Children'S Urology of the Carolinas230 Baldwin Avenue, Charlotte, NC 28204Provider-performed microscopyFeb 3, 2028

National Provider Directory

National Provider Directory

Locations

8811 Blakeney Professional Dr
Ste 130
Charlotte, NC 28277
Phone (704) 376-5636

230 Baldwin Ave
Charlotte, NC 28204
Phone (704) 376-5336

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1992720932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BALDWIN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043110",
            "telephone_number": "704-376-5636",
            "fax_number": "704-376-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BALDWIN AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043110",
            "telephone_number": "704-376-5636",
            "fax_number": "704-376-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S UROLOGY OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-376-5636"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "38823",
            "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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.