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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTH PARK AESTHETICS
NPI 1316861578
Clinic/Center in Charlotte, NC

Active since August 08, 2026
5970 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 710-6511 Get Directions Write a Review

NPPES record added: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Park Aesthetics NPPES

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

SOUTH PARK AESTHETICS (NPI 1316861578) is a healthcare organization registered as a clinic/center in Charlotte, North Carolina and active in the NPI registry since August 2026. The organization lists Georgina Rotberg, Mbr, as its authorized official.

NPPES Registry Identity

NPI1316861578
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH PARK AESTHETICS
Location Address5970 FAIRVIEW RDCharlotte, NC 28210-3167
Mailing Address5970 Fairview RdCharlotte, NC 28210-3167 · (704) 710-6511
Phone(704) 710-6511
Organization SubpartNo
Authorized OfficialGeorgina RotbergMbr · (310) 990-1323
Enumeration DateAugust 8, 2026
NPPES CertifiedAugust 8, 2026
✔ NPI 1316861578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5970 FAIRVIEW RD, Charlotte, NC 28210
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Other Providers at the Same Location NPPES 9

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

DR. SARDAR MURTUZA SHAH-KHAN DDS
Dentist
5970 FAIRVIEW RD, STE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 523-1462
CHARLOTTE RESTORATION
Clinic/Center (Medical Specialty)
5970 FAIRVIEW RD, SUITE 215
CHARLOTTE, NC 28210
Mecklenburg County (704) 617-2649
MR. HOWARD BRANDON RISHER M.A., L.P.A.
Psychologist
5970 FAIRVIEW RD, SUITE 420
CHARLOTTE, NC 28210
Mecklenburg County (704) 763-6608
NADINE ROSEN L.P.C.
Counselor (Professional)
5970 FAIRVIEW RD, 412
CHARLOTTE, NC 28210
Mecklenburg County (704) 280-8458
BELLAMENTE SERVICES, LLC
Psychologist (Clinical)
5970 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 362-5355
DR. KRISTINA MURPHY PECK PSY.D.
Psychologist
5970 FAIRVIEW RD, SUITE 412
CHARLOTTE, NC 28210
Mecklenburg County (704) 365-1844
JOHN WALSH DDS PA
Dentist (Orthodontics and Dentofacial Orthopedics)
5970 FAIRVIEW RD, STE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 523-1462
SUPRGEON W WEBBER III DDS TA
Dentist (General Practice)
5970 FAIRVIEW RD, SUITE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 247-4030

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 Park Aesthetics's NPI number?

The NPI number for South Park Aesthetics is 1316861578. It was assigned to this organization in the NPPES registry on August 8, 2026.

Where is South Park Aesthetics located?

South Park Aesthetics is located at 5970 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 710-6511.

What is South Park Aesthetics's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for South Park Aesthetics was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.