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SOUTH PARK
NPI 1437280013
Dentist - General Practice in Charlotte, NC

Active since March 08, 2007CLIA 34D2294996 · Microscopy
2901 COLTSGATE RD, SUITE 201, CHARLOTTE, NC 28211(704) 362-1211(704) 362-4321 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Park NPPES

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

SOUTH PARK (NPI 1437280013) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through December 3, 2027 and lists Raymond Garrison, President, as its authorized official.

NPPES Registry Identity

NPI1437280013
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRAYMOND GARRISON DDS PA -UDA
Location Address2901 COLTSGATE RD, SUITE 201Charlotte, NC 28211-3571
Mailing Address2901 Coltsgate Rd, Suite 201Charlotte, NC 28211-3571 · (704) 362-1211 · Fax (704) 362-4321
Phone(704) 362-1211
Fax(704) 362-4321
Organization SubpartNo
Authorized OfficialRaymond GarrisonPresident · (704) 549-1509
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437280013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 3549
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2901 COLTSGATE RD, Charlotte, NC 28211
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Other Names 1

Doing Business AsSouth Park

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2294996

Atrium Health Women's Care Southpine Obgyn - Cpn Inc Dba - South Park · Charlotte, NC
Active · expires Dec 3, 2027
CLIA Number34D2294996
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorJennifer Hong
Laboratory Phone(704) 667-5800
Laboratory LocationAtrium Health Women's Care Southpine Obgyn - Cpn Inc Dba - South Park4525 Cameron Valley Parkway Suite 2600, Charlotte, NC 28211
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Raymond Garrison Dds PA -Uda's NPI number?

The NPI number for Raymond Garrison Dds PA -Uda is 1437280013. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as South Park.

Where is Raymond Garrison Dds PA -Uda located?

Raymond Garrison Dds PA -Uda is located at 2901 Coltsgate Rd Suite 201, Charlotte, NC 28211. The listed phone number is (704) 362-1211.

What is Raymond Garrison Dds PA -Uda's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Raymond Garrison Dds PA -Uda hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2294996) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Raymond Garrison Dds PA -Uda was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.