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LISA JERVIS
NPI 1376562108
Obstetrics & Gynecology in Charlotte, NC

Active since July 19, 2006
125 QUEENS RD STE 500, CHARLOTTE, NC 28204(980) 302-6380(980) 302-6385 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2021, Jun 14, 2021, Nov 17, 2020 and 12 more (15 updates tracked since 2016).

About Lisa Jervis NPPES

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

LISA JERVIS (NPI 1376562108) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (9900072) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1376562108
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA JERVIS
Location Address125 QUEENS RD STE 500Charlotte, NC 28204-3215
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-6380 · Fax (980) 302-6385
Phone(980) 302-6380
Fax(980) 302-6385
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 18, 202115 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1376562108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 9900072
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
125 QUEENS RD STE 500, Charlotte, NC 28204
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Other Providers at the Same Location NPPES 3

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

RUSSELL HOWARD GREENFIELD
Emergency Medicine
125 QUEENS RD STE 500
CHARLOTTE, NC 28204
Mecklenburg County (980) 302-6380
THE PRESBYTERIAN HOSPITAL
Emergency Medicine
125 QUEENS RD STE 500
CHARLOTTE, NC 28204
Mecklenburg County (980) 302-9304
JEFF HARDIN MD
Internal Medicine
125 QUEENS RD STE 500
CHARLOTTE, NC 28204
Mecklenburg County (980) 302-6380

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 Lisa Jervis's NPI number?

The NPI number for Lisa Jervis is 1376562108. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Lisa Jervis located?

Lisa Jervis practices at 125 Queens Rd Ste 500, Charlotte, NC 28204. The listed phone number is (980) 302-6380.

What is Lisa Jervis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Lisa Jervis was last updated on August 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.