SOUTH CHARLOTTE GENERAL AND VASCULAR SURGERY PLLC
NPI 1144524190
Surgery in Charlotte, NC
About South Charlotte General And Vascular Surgery Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH CHARLOTTE GENERAL AND VASCULAR SURGERY PLLC (NPI 1144524190) is a healthcare organization registered as a surgery in Charlotte, North Carolina and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists James Nelson Antezana, General And Vascular Surgeon, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Charlotte General And Vascular Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to South Charlotte General And Vascular Surgery PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Charlotte, NC 28273
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 34D2163485
South Charlotte General & Vascular Surgery, PLLC · Charlotte, NCFrequently 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 South Charlotte General And Vascular Surgery PLLC's NPI number?
The NPI number for South Charlotte General And Vascular Surgery PLLC is 1144524190. It was assigned to this organization in the NPPES registry on January 5, 2011.
Where is South Charlotte General And Vascular Surgery PLLC located?
South Charlotte General And Vascular Surgery PLLC is located at 13430 Hoover Creek Blvd Ste 200, Charlotte, NC 28273. The listed phone number is (704) 910-8380.
What is South Charlotte General And Vascular Surgery PLLC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is South Charlotte General And Vascular Surgery PLLC enrolled in Medicare?
Yes. South Charlotte General And Vascular Surgery PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Charlotte General And Vascular Surgery PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to South Charlotte General And Vascular Surgery PLLC, in Cardiovascular Disease (Cardiology), General Surgery 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Charlotte General And Vascular Surgery PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2163485) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Charlotte General And Vascular Surgery PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list South Charlotte General And Vascular Surgery PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Charlotte General And Vascular Surgery PLLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# South Charlotte General And Vascular Surgery Pllc · NPI 1144524190
Surgery organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since January 5, 2011.
## Identity
- **NPI:** 1144524190 (Entity type: Organization)
- **Enumerated:** January 5, 2011
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** James Antezana, GENERAL AND VASCULAR SURGEON
## Practice location
- **Address:** 13430 HOOVER CREEK BLVD STE 200, Charlotte, NC 28273-0054
- **Phone:** (704) 910-8380 · **Fax:** (704) 710-8045
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Cardiovascular Disease (Cardiology) (1), General Surgery (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2023
- **Other identifiers:** Medicaid 59-13992 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144524190) · Data from the CMS NPPES public registry.