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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
NPI 1114572534
Otolaryngology in Charlotte, NC

Active since August 02, 2019CLIA 34D2193159 · Waiver
400 E BROOKLYN VILLAGE AVE # A1, CHARLOTTE, NC 28202(704) 295-3000 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2023, Aug 2, 2019 (2 updates tracked since 2019).

About Charlotte Eye Ear Nose & Throat Associates, Pa NPPES

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

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA (NPI 1114572534) is a healthcare organization registered as an otolaryngology in Charlotte, North Carolina and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Jag Gill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114572534
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Location Address400 E BROOKLYN VILLAGE AVE # A1Charlotte, NC 28202-3601
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000
Phone(704) 295-3000
Organization SubpartNo
Authorized OfficialJag GillCeo · (704) 295-3400
Enumeration DateAugust 2, 2019
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1114572534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOphthalmologyTaxonomy 207W00000X
400 E BROOKLYN VILLAGE AVE # A1, Charlotte, NC 28202
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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 34D2193159

Charlotte Eye Ear Nose & Throat Associates, PA · Charlotte, NC
Active · expires Sep 16, 2026
CLIA Number34D2193159
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorJewel Greywoode
Laboratory Phone(704) 295-3412
Laboratory LocationCharlotte Eye Ear Nose & Throat Associates, PA400 East Brooklyn Village Ave., Unit 1A, Charlotte, NC 28202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Charlotte Eye Ear Nose & Throat Associates, PA's NPI number?

The NPI number for Charlotte Eye Ear Nose & Throat Associates, PA is 1114572534. It was assigned to this organization in the NPPES registry on August 2, 2019.

Where is Charlotte Eye Ear Nose & Throat Associates, PA located?

Charlotte Eye Ear Nose & Throat Associates, PA is located at 400 E Brooklyn Village Ave # A1, Charlotte, NC 28202. The listed phone number is (704) 295-3000.

What is Charlotte Eye Ear Nose & Throat Associates, PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Charlotte Eye Ear Nose & Throat Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2193159) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charlotte Eye Ear Nose & Throat Associates, PA was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.