CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
NPI 1366793465
Otolaryngology in Mooresville, NC
NPI Status: Active since September 28, 2012
Contact Information
144 FOUNTAIN PL
MOORESVILLE, NC
ZIP 28117
Phone: (704) 658-0595
Fax: (704) 658-0916
- Organization
- Otolaryngology
- CLIA Number: 34D2122073
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-17-2026
About CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
This page provides the complete NPI Profile along with additional information for Charlotte Eye Ear Nose & Throat Associates, Pa, a provider established in Mooresville, North Carolina operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1366793465 assigned on September 2012. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Charlotte Eye Ear Nose & Throat Associates, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jag S Gill Scd (Ceo)
- NPI
- 1366793465
- Provider Name
- CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
- Entity Type
- Organization
- Location Address
- 144 FOUNTAIN PL MOORESVILLE, NC 28117
- Location Phone
- (704) 658-0595
- Location Fax
- (704) 658-0916
- Mailing Address
- 6035 FAIRVIEW RD CHARLOTTE, NC 28210
- Mailing Phone
- (704) 295-3000
- Mailing Fax
- (704) 658-0916
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-28-2012
- Last Update Date
- 09-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207YS0123X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 2 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | |
| 3 | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2122073
- Facility Type
- Physician Office
- Certificate Effective Date
- November 18, 2024
- Certificate Expiration Date
- November 17, 2026
- Laboratory Director
- ROY S. LEWIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Charlotte Eye Ear Nose & Throat Associates, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366793465, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366793465, enumerated as an "organization" on September 28, 2012.
The provider is located at 144 FOUNTAIN PL MOORESVILLE, NC 28117 and the phone number is (704) 658-0595.
Otolaryngology with taxonomy code 207Y00000X.
