TRYON DIABETES PREVENTION PROGRAM
NPI 1497510184
Dietitian, Registered in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Dietitian, Registered with taxonomy code 133V00000X.

Active since February 21, 2024CLIA Certified · 2 labs

6060 PIEDMONT ROW DR S FL 6, CHARLOTTE, NC 28287(704) 489-3094 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2024, Mar 8, 2024 (2 updates tracked since 2024).

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About Tryon Diabetes Prevention Program NPPES

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

TRYON DIABETES PREVENTION PROGRAM (NPI 1497510184) is a healthcare organization registered as a dietitian, registered in Charlotte, North Carolina and active in the NPI registry since February 2024. The organization holds 2 active CLIA laboratory certificates and lists Jordan Archer, Chief Operating Officier, as its authorized official.

NPPES Registry Identity

NPI1497510184

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameTRYON MEDICAL PARTNERS, PLLC

Location Address6060 PIEDMONT ROW DR S FL 6Charlotte, NC 28287-3884

Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 918-1934

Phone(704) 489-3094

Organization SubpartYes

Authorized OfficialJordan ArcherChief Operating Officier · (704) 259-4623

Enumeration DateFebruary 21, 2024

Last NPPES UpdateMay 14, 20242 updates tracked since enumeration

NPPES CertifiedMay 14, 2024

✔ NPI 1497510184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

6060 PIEDMONT ROW DR S FL 6, Charlotte, NC 28287

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Other Names 1

Doing Business AsTryon Diabetes Prevention Program

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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) 34D2151835

Tryon Medical Partners - Southpark · Charlotte, NC

Active · expires Sep 24, 2026

CLIA Number34D2151835

Laboratory TypePhysician Office

Certificate Effective DateSeptember 25, 2024

Certificate Expiration DateSeptember 24, 2026

Laboratory DirectorGary Rolband

Laboratory Phone(704) 489-3094

Laboratory LocationTryon Medical Partners - Southpark6060 Piedmont Row Drive South, Charlotte, NC 28287

CLIA data matches this NPI record on: Address Name Phone

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.

Certificate of Compliance 34D2343147

Tryon Medical Partners · Charlotte, NC

Active · expires Apr 30, 2028

CLIA Number34D2343147

Laboratory TypePhysician Office

Certificate Effective DateMay 1, 2026

Certificate Expiration DateApril 30, 2028

Laboratory DirectorJoshua B. Eickstaedt

Laboratory Phone(980) 296-1655

Laboratory LocationTryon Medical Partners6060 Piedmont Row Drive South, Suite 600, Charlotte, NC 28210

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

NICOLE HOWE

Nurse Practitioner