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DYNAMIC HEALTH CAROLINAS, PLLC
NPI 1124693338
General Practice in Charlotte, NC

Active since May 21, 2021
4705 SOUTH BLVD., CHARLOTTE, NC 28217(704) 525-6288(704) 525-6384 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dynamic Health Carolinas, Pllc NPPES

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

DYNAMIC HEALTH CAROLINAS, PLLC (NPI 1124693338) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since May 2021. The organization lists Dixie Winslow, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1124693338
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDYNAMIC HEALTH CAROLINAS, PLLC
Location Address4705 SOUTH BLVD.Charlotte, NC 28217-2771
Mailing Address4705 South Blvd.Charlotte, NC 28217-2771 · (704) 525-6288 · Fax (704) 525-6384
Phone(704) 525-6288
Fax(704) 525-6384
Organization SubpartNo
Authorized OfficialDixie WinslowExecutive Assistant · (704) 525-6288
Enumeration DateMay 21, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1124693338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
4705 SOUTH BLVD., Charlotte, NC 28217
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynamic Health Carolinas, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dynamic Health Carolinas, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Danielle Crum, FNP-BC
Nurse Practitioner
NPI 1457941007
4707 SOUTH BLVD
Charlotte, NC 28217
(704) 525-6288
✔ PECOS✔ Accepts Medicare0.1 mi
Logan Evans, DC
Chiropractic
NPI 1164776183
1245 ROSEMONT DR STE 120
Fort Mill, SC 29707
(803) 548-8100
✔ Accepts Medicare12 mi
James Patton, MD
Neurology
NPI 1518945690
731 DOGWOOD ROAD
Asheville, NC 28806
(828) 210-9300
✔ PECOS✔ Accepts Medicare101 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dynamic Health Carolinas, PLLC's NPI number?

The NPI number for Dynamic Health Carolinas, PLLC is 1124693338. It was assigned to this organization in the NPPES registry on May 21, 2021.

Where is Dynamic Health Carolinas, PLLC located?

Dynamic Health Carolinas, PLLC is located at 4705 South Blvd., Charlotte, NC 28217. The listed phone number is (704) 525-6288.

What is Dynamic Health Carolinas, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dynamic Health Carolinas, PLLC enrolled in Medicare?

Yes. Dynamic Health Carolinas, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dynamic Health Carolinas, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dynamic Health Carolinas, PLLC, in Chiropractic, Neurology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dynamic Health Carolinas, PLLC was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.