South Charlotte Primary Care - Medicare Primary Care in Charlotte, NC

South Charlotte Primary Care is a medicare enrolled primary clinic (Family Medicine) in Charlotte, North Carolina. The current practice location for South Charlotte Primary Care is 7030 Pineville Matthews Rd, Charlotte, North Carolina. For appointments, you can reach them via phone at (704) 667-4150. The mailing address for South Charlotte Primary Care is Po Box 19305, Charlotte, North Carolina and phone number is (704) 631-0002.

South Charlotte Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619904430. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 667-4150.

Contact Information

South Charlotte Primary Care
7030 Pineville Matthews Rd
Charlotte
NC 28226-8298
(704) 667-4150
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSouth Charlotte Primary Care
SpecialityFamily Medicine
Location7030 Pineville Matthews Rd, Charlotte, North Carolina
Authorized Official Name and PositionScott Rissmiller (ENTERPRISE EVP)
Authorized Official Contact7043558675
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Charlotte Primary Care
Po Box 19305
Charlotte
NC 28219-9305

Ph: (704) 631-0002
South Charlotte Primary Care
7030 Pineville Matthews Rd
Charlotte
NC 28226-8298

Ph: (704) 667-4150

NPI Details:

NPI Number1619904430
Provider Enumeration Date06/27/2006
Last Update Date03/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7517150378
Medicare Enrollment IDO20101025001020

Medical Identifiers

Medical identifiers for South Charlotte Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619904430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Charlotte Primary Care acts as a billing entity for following providers:
Provider NameVanessa Lee Mcpherson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093740029
PECOS PAC ID: 8022033885
Enrollment ID: I20051011000355
Provider NameLawrence Mark Fleishman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467471292
PECOS PAC ID: 5395932008
Enrollment ID: I20101207001038
Provider NameSherryl A Mcphee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114946951
PECOS PAC ID: 3577752393
Enrollment ID: I20110110000879
Provider NameAnitha M Leonard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255381117
PECOS PAC ID: 8325229115
Enrollment ID: I20110228000313
Provider NameAshley C Coppage Honeycutt
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427029487
PECOS PAC ID: 4688842099
Enrollment ID: I20110729000009
Provider NameKara A Hamilton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689693418
PECOS PAC ID: 8325214695
Enrollment ID: I20120109000499
Provider NameLarry T Glass
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982623716
PECOS PAC ID: 0648415935
Enrollment ID: I20130313000544
Provider NameDayna Denise Trivette
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215953336
PECOS PAC ID: 5799921391
Enrollment ID: I20130427000070
Provider NameMary B W Neal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861816134
PECOS PAC ID: 0648498550
Enrollment ID: I20140905000843
Provider NameJoseph C Loibissio
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457381600
PECOS PAC ID: 9133497654
Enrollment ID: I20170623002071
Provider NameMelodie Cornique Harrison
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518279694
PECOS PAC ID: 9537469879
Enrollment ID: I20180116002000
Provider NameVicky Leff
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548259369
PECOS PAC ID: 0446413694
Enrollment ID: I20180226001733
Provider NameHana Alqariab
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306348081
PECOS PAC ID: 9234493040
Enrollment ID: I20180502002774
Provider NamePuja G Whitlow
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1356495881
PECOS PAC ID: 4880728245
Enrollment ID: I20180828000348
Provider NameBeth Christina Butler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295121754
PECOS PAC ID: 6103194394
Enrollment ID: I20180924003456
Provider NameCharles Vedder
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588604201
PECOS PAC ID: 9234214784
Enrollment ID: I20200324003327
Provider NameKimberly D Hunkele
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386642270
PECOS PAC ID: 1850291519
Enrollment ID: I20230908003622
Provider NameSevero S Spradling
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316567936
PECOS PAC ID: 9739533951
Enrollment ID: I20230921002744

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.