ADVANCED SPORTS & SPINE, PLLC
NPI 1629422738
Physical Medicine & Rehabilitation - Pain Medicine in Charlotte, NC

Active since April 15, 2016CLIA 34D2121387 · Waiver
8035 PROVIDENCE RD, #340, CHARLOTTE, NC 28277(704) 542-3988 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2018, Mar 20, 2018 (2 updates tracked since 2018).

About Advanced Sports & Spine, Pllc NPPES

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

ADVANCED SPORTS & SPINE, PLLC (NPI 1629422738) is a healthcare organization registered as a pain medicine in Charlotte, North Carolina and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Usman Fayyaz Ahmad, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1629422738
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameADVANCED SPORTS & SPINE, PLLC
Location Address8035 PROVIDENCE RD, #340Charlotte, NC 28277-9716
Mailing Address8035 Providence Rd Ste 340Charlotte, NC 28277-9717 · (704) 542-3988 · Fax (704) 542-3912
Organization SubpartNo
Authorized OfficialUsman Fayyaz AhmadSole Member · (704) 542-3988
Enumeration DateApril 15, 2016
Last NPPES UpdateApril 12, 20182 updates tracked since enumeration
NPI 1629422738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in NC · 2015-01401
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
8035 PROVIDENCE RD, Charlotte, NC 28277

Other Identifiers 1

Medicaid1629422738NC

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

Accepted Insurance

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 34D2121387

Advanced Sports & Spine · Charlotte, NC
Active · expires Nov 2, 2026
CLIA Number34D2121387
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorUsman Ahmad
Laboratory Phone(704) 542-3988
Laboratory LocationAdvanced Sports & Spine8035 Providence Road, Suite 340, Charlotte, NC 28277
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 13

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

Pharmacy (Community/Retail Pharmacy)
8035 PROVIDENCE RD, STE 300
CHARLOTTE, NC 28277
Chiropractor (Neurology)
8035 PROVIDENCE RD, 305
CHARLOTTE, NC 28277
Dentist
8035 PROVIDENCE RD
CHARLOTTE, NC 28277
Chiropractor
8035 PROVIDENCE RD, SUITE 305
CHARLOTTE, NC 28277
Physical Medicine & Rehabilitation
8035 PROVIDENCE RD, 340
CHARLOTTE, NC 28277
Non-Pharmacy Dispensing Site
8035 PROVIDENCE RD, SUITE 340
CHARLOTTE, NC 28277
Internal Medicine
8035 PROVIDENCE RD, SUITE 315
CHARLOTTE, NC 28277
Physical Medicine & Rehabilitation
8035 PROVIDENCE RD, SUITE 340
CHARLOTTE, NC 28277

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 Advanced Sports & Spine, PLLC's NPI number?

The NPI number for Advanced Sports & Spine, PLLC is 1629422738. It was assigned to this organization in the NPPES registry on April 15, 2016.

Where is Advanced Sports & Spine, PLLC located?

Advanced Sports & Spine, PLLC is located at 8035 Providence Rd #340, Charlotte, NC 28277. The listed phone number is (704) 542-3988.

What is Advanced Sports & Spine, PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Advanced Sports & Spine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2121387) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Sports & Spine, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina list Advanced Sports & Spine, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Sports & Spine, PLLC was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.