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NOVANT HEALTH SENIOR CARE
NPI 1053365817
Internal Medicine - Geriatric Medicine in Charlotte, NC

Active since May 19, 2006CLIA 34D0950389 · Waiver
6324 FAIRVIEW RD, SUITE 310, CHARLOTTE, NC 28210(704) 316-6565(704) 316-6560 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Novant Health Senior Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH SENIOR CARE (NPI 1053365817) is a healthcare organization registered as a geriatric medicine in Charlotte, North Carolina and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Amy Vance, Svp & Coo Of Phc, as its authorized official.

NPPES Registry Identity

NPI1053365817
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameTHE PRESBYTERIAN HOSPITAL
Location Address6324 FAIRVIEW RD, SUITE 310Charlotte, NC 28210-4172
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 316-6565 · Fax (704) 316-6560
Phone(704) 316-6565
Fax(704) 316-6560
Organization SubpartNo
Authorized OfficialAmy VanceSvp & Coo Of Phc · (704) 384-7606
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 5, 2013
✔ NPI 1053365817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
6324 FAIRVIEW RD, Charlotte, NC 28210
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Other Names 1

Doing Business AsNovant Health Senior Care

Other Identifiers 5

Other02246NC · Bcbs Nc
Medicaid89012M7NC
OtherCG8809NC · Railroad Medicare
Medicare PIN235095MNC
MedicaidNPA925SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0950389

Novant Health Senior Care · Charlotte, NC
Active · expires Aug 24, 2028
CLIA Number34D0950389
Laboratory TypeHospital
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorAsaad Ahmed
Laboratory Phone(704) 316-6565
Laboratory LocationNovant Health Senior Care6324 Fairview Road, Suite 310, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LILLIAN M. TEIGLAND MD
Family Medicine
6324 FAIRVIEW RD, SUITE 201
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-0588
DR. STEPHEN H POWELL MD
Internal Medicine
6324 FAIRVIEW RD, SUITE 310
CHARLOTTE, NC 28210
Mecklenburg County (704) 316-6565
JOHN W EVANS JR. MD
Radiology (Diagnostic Radiology)
6324 FAIRVIEW RD, SUITE 120 A
CHARLOTTE, NC 28210
Mecklenburg County (704) 362-8444
MECKLENBURG DIAGNOSTIC IMAGING LLC
Radiology (Diagnostic Radiology)
6324 FAIRVIEW RD, SUITE 120 A
CHARLOTTE, NC 28210
Mecklenburg County (704) 362-8444
NOVANT MEDICAL GROUP, INC
Obstetrics & Gynecology
6324 FAIRVIEW RD, SUITE 390
CHARLOTTE, NC 28210
Mecklenburg County (704) 316-5270
JULIE MEAD BOGGUSS FNP
Nurse Practitioner
6324 FAIRVIEW RD, SUITE 350
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-8600
SABRI AJANEA-MARIE ZOOPER DO
Family Medicine (Sports Medicine)
6324 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-0588
BRANDON TRAVIS MCCOY PA-C
Physician Assistant
6324 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-0588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Presbyterian Hospital's NPI number?

The NPI number for The Presbyterian Hospital is 1053365817. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Novant Health Senior Care.

Where is The Presbyterian Hospital located?

The Presbyterian Hospital is located at 6324 Fairview Rd Suite 310, Charlotte, NC 28210. The listed phone number is (704) 316-6565.

What is The Presbyterian Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does The Presbyterian Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0950389) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Presbyterian Hospital was last updated on July 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.