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SOUTH CHARLOTTE GENERAL AND VASCULAR SURGERY PLLC
NPI 1144524190
Surgery in Charlotte, NC

Active since January 05, 2011CLIA 34D2163485 · Waiver
13430 HOOVER CREEK BLVD STE 200, CHARLOTTE, NC 28273(704) 910-8380(704) 710-8045 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Aug 29, 2019 (2 updates tracked since 2019).

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

NPI1144524190
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTH CHARLOTTE GENERAL AND VASCULAR SURGERY PLLC
Location Address13430 HOOVER CREEK BLVD STE 200Charlotte, NC 28273-0054
Mailing Address13430 Hoover Creek Blvd Ste 200Charlotte, NC 28273-0054 · (704) 910-8380 · Fax (704) 710-8045
Phone(704) 910-8380
Fax(704) 710-8045
Organization SubpartNo
Authorized OfficialJames Nelson AntezanaGeneral And Vascular Surgeon · (803) 412-5126
Enumeration DateJanuary 5, 2011
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1144524190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2009-00158
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
13430 HOOVER CREEK BLVD STE 200, Charlotte, NC 28273
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Other Identifiers 1

Medicaid59-13992NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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, NC
Active · expires Mar 13, 2027
CLIA Number34D2163485
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorJames N. Antezana
Laboratory Phone(704) 910-8380
Laboratory LocationSouth Charlotte General & Vascular Surgery, PLLC13430 Hoover Creek Boulevard, Suite 200, Charlotte, NC 28273
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. JAMES N. ANTEZANA MD
Surgery (Vascular Surgery)
13430 HOOVER CREEK BLVD STE 200
CHARLOTTE, NC 28273
Mecklenburg County (704) 910-8380
BHUMIKA NILAY PATEL
Nurse Practitioner
13430 HOOVER CREEK BLVD STE 200
CHARLOTTE, NC 28273
Mecklenburg County (704) 910-8380

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 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.

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.