MARDISHA STELLA SIMPSON ADN,BS,RHIT,NP,MD,MA
NPI 1477497576
Student in an Organized Health Care Education/Training Program in Charlotte, NC

NPI Status: Active since April 17, 2026

Contact Information

915 PEARL PARK WAY
CHARLOTTE, NC
ZIP 28204
Phone: (704) 907-9921

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About MARDISHA SIMPSON

This page provides the complete NPI Profile along with additional information for Mardisha Simpson, a primary care provider established in Charlotte, North Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1477497576 assigned on April 2026. The practitioner's primary taxonomy code is 390200000X with license number SI9848238 (NC). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1477497576
Provider Name
MARDISHA STELLA SIMPSON ADN,BS,RHIT,NP,MD,MA
Gender
Female
Entity Type
Individual
Location Address
915 PEARL PARK WAY CHARLOTTE, NC 28204
Location Phone
(704) 907-9921
Mailing Address
5023 RIVERDALE DR CHARLOTTE, NC 28273
Is Sole Proprietor?
Yes
Enumeration Date
04-17-2026
Last Update Date
05-09-2026
Code Navigator

A primary care provider (PCP) like Mardisha Simpson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 6397 Lee Hwy
    Chattanooga, TN 37421
    (423) 305-7781
  • 5943 South Blvd
    Charlotte, NC 28217
    (704) 553-4191
  • 4444 2nd Ave # 36001
    Detroit, MI 48201
    (332) 334-8285
  • 4601 Charlotte Park Dr Ste 340
    Charlotte, NC 28217
    (704) 523-2617
  • 1201 Elizabeth Ave
    Charlotte, NC 28204
    (704) 330-2722
  • 10648 Park Rd
    Charlotte, NC 28210
    (704) 667-1000

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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
SI9848238
License State
NC
Taxonomy Description
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.

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)
1163WC1500XNursing Service Providers

Registered Nurse
Community Health

01366839 (NC)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

940389678 (NC)
3390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

L46320870 (MI)
4390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

16507430 (NC)
5390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

4202053 (NC)
6390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

36630 (NC)
7390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

4104801506 (NC)
8390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

8698989 (NC)
9390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

519252368 (NC)
10390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

13871770 (TN)

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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 1477497576, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 4 → 8 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 8 + 9 + 1 + 4 + 5 + 1 + 4 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1477497576.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

General Practice
915 PEARL PARK WAY
CHARLOTTE, NC 28204
Student in an Organized Health Care Education/Training Program
915 PEARL PARK WAY
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477497576, enumerated as an "individual" on April 17, 2026.

The provider is located at 915 PEARL PARK WAY CHARLOTTE, NC 28204 and the phone number is (704) 907-9921.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.