Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BEYOND ROOTS, PLLC
NPI 1558282228
Nurse Practitioner - Pediatrics in Charlotte, NC

Active since July 21, 2026CLIA 34D2348952 · Waiver
1026 JAY ST, SUITE B251, CHARLOTTE, NC 28208(980) 531-6136 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Jul 23, 2026 (2 updates tracked since 2026).

About Beyond Roots, Pllc NPPES

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

BEYOND ROOTS, PLLC (NPI 1558282228) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through August 12, 2028 and lists Vanessa Perry, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1558282228
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBEYOND ROOTS, PLLC
Location Address1026 JAY ST, SUITE B251Charlotte, NC 28208
Mailing AddressPo Box 143Paw Creek, NC 28130-0143
Organization SubpartNo
Authorized OfficialVanessa PerryPediatric Nurse Practitioner · (585) 355-9192
Enumeration DateJuly 21, 2026
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1558282228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
1026 JAY ST, Charlotte, NC 28208

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 of Waiver 34D2348952

Beyond Roots PLLC · Charlotte, NC
Active · expires Aug 12, 2028
CLIA Number34D2348952
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorVanessa M. Perry
Laboratory Phone(980) 531-6136
Laboratory LocationBeyond Roots PLLC7116 Garrett Ct, Charlotte, NC 28214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Specialist
1026 JAY ST
CHARLOTTE, NC 28208
Specialist
1026 JAY ST
CHARLOTTE, NC 28208

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 Beyond Roots, PLLC's NPI number?

The NPI number for Beyond Roots, PLLC is 1558282228. It was assigned to this organization in the NPPES registry on July 21, 2026.

Where is Beyond Roots, PLLC located?

Beyond Roots, PLLC is located at 1026 Jay St Suite B251, Charlotte, NC 28208. The listed phone number is (980) 531-6136.

What is Beyond Roots, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Beyond Roots, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2348952) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beyond Roots, PLLC was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.