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CAROLINA BONE & JOINT PA
NPI 1619030079
Internal Medicine - Rheumatology in Charlotte, NC

Active since December 18, 2006CLIA 34D0244353 · Waiver
10508 PARK RD STE 120, CHARLOTTE, NC 28210(704) 541-3055(704) 319-2166 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Bone & Joint Pa NPPES

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

CAROLINA BONE & JOINT PA (NPI 1619030079) is a healthcare organization registered as a rheumatology in Charlotte, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Neal Michael Goldberger, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1619030079
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameCAROLINA BONE & JOINT PA
Location Address10508 PARK RD STE 120Charlotte, NC 28210-8526
Mailing Address10508 Park Rd Ste 120Charlotte, NC 28210-8526 · (704) 541-3055 · Fax (704) 319-2166
Phone(704) 541-3055
Fax(704) 319-2166
Organization SubpartNo
Authorized OfficialNeal Michael GoldbergerAuthorized Official · (704) 541-3055
Enumeration DateDecember 18, 2006
Last NPPES UpdateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1619030079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
10508 PARK RD STE 120, Charlotte, NC 28210
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Other Identifiers 2

Medicaid8902849NC
MedicaidE02849SC

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

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 34D0244353

Carolina Bone & Joint PA · Charlotte, NC
Active · expires Aug 31, 2026
CLIA Number34D0244353
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChason S. Hayes MD
Laboratory Phone(704) 541-3055
Laboratory LocationCarolina Bone & Joint PA10508 Park Rd Suite 120, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

NEAL MICHAEL GOLDBERGER MD
Anesthesiology
10508 PARK RD STE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-3055
CHASON S HAYES MD
Orthopaedic Surgery
10508 PARK RD STE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-3055
SETH L JAFFE DO
Orthopaedic Surgery
10508 PARK RD STE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-3055
KIMBERLY TAYLOR BOST PT
Physical Therapist
10508 PARK RD STE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-3055

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 Carolina Bone & Joint PA's NPI number?

The NPI number for Carolina Bone & Joint PA is 1619030079. It was assigned to this organization in the NPPES registry on December 18, 2006.

Where is Carolina Bone & Joint PA located?

Carolina Bone & Joint PA is located at 10508 Park Rd Ste 120, Charlotte, NC 28210. The listed phone number is (704) 541-3055.

What is Carolina Bone & Joint PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Does Carolina Bone & Joint PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0244353) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Bone & Joint PA was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.