LOGAN DORSEY
NPI 1316749914
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Logan Dorsey's NPI number?

The NPI number for Logan Dorsey is 1316749914. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Logan Dorsey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Dorsey was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 25, 2025PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-3181 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Logan Dorsey NPPES

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

LOGAN DORSEY (NPI 1316749914) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316749914

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLOGAN DORSEY

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address16428 Andraes DrChesterfield, MO 63005-4571 · (615) 332-1499

Phone(704) 355-3181

Sole ProprietorNo

Enumeration DateMarch 25, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1316749914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Dorsey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)