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DANIEL GARCIA MD
NPI 1629428560
Pediatrics in Charlotte, NC

Active since June 21, 2016PECOS Enrolled
9908 COULOAK DR, STE 103, CHARLOTTE, NC 28216(704) 801-2025 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Aug 28, 2020, Jun 21, 2016 (3 updates tracked since 2016).

About Daniel Garcia Md NPPES

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

DANIEL GARCIA MD (NPI 1629428560) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2020-02065) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629428560
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDANIEL GARCIACredential: MD
Location Address9908 COULOAK DR, STE 103Charlotte, NC 28216-8678
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 801-2025
Sole ProprietorNo
Enumeration DateJune 21, 2016
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1629428560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2020-02065
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9908 COULOAK DR, Charlotte, NC 28216
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1447 McAlister Rd, Ste 3300Lincolnton, NC 28092-4114 · Phone (980) 212-2680
Location 22544 Court Dr, Ste CGastonia, NC 28054-3450 · Phone (704) 867-5356
Location 3409 Olin Way, Ste 2300Denver, NC 28037-9243 · Phone (704) 801-4577

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Garcia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniel Garcia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
0.3 mi
Family Medicine
10210 COULOAK DR, STE E
Charlotte, NC 28216
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1366522369 (704) 801-2000
Childrens Hospital Of The Kings Daughters Inc
281 mi
Clinical
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 108 clinicians in this Medicare group
NPI 1467641829 (757) 668-7017

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 LUDMIL IVANOV MD
Pediatrics
9908 COULOAK DR, STE 103
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2025
JOSEPH PINCKNEY JR. MD
Family Medicine
9908 COULOAK DR, STE 202
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3050
ROXANNE DENISE SEMPLE MD
Pediatrics
9908 COULOAK DR, STE 103
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2025
MARLAR ANNE VOLLBRECHT FNP
Nurse Practitioner (Family)
9908 COULOAK DR, STE 202
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3050
MOLLI RENE DUTT LOISELLE OT
Occupational Therapist
9908 COULOAK DR, STE 100
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3065
KELLEY HOWARD ROUSE MD
Obstetrics & Gynecology
9908 COULOAK DR, STE 201
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2075
HOLLIE CHAMPION GOLDBERG
Physical Therapist
9908 COULOAK DR
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-3065
LAURA TUMBLIN ELHAGE MD
Pediatrics
9908 COULOAK DR, STE 103
CHARLOTTE, NC 28216
Mecklenburg County (704) 801-2025

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 Daniel Garcia's NPI number?

The NPI number for Daniel Garcia is 1629428560. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Daniel Garcia located?

Daniel Garcia practices at 9908 Couloak Dr Ste 103, Charlotte, NC 28216. The listed phone number is (704) 801-2025.

What is Daniel Garcia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Daniel Garcia enrolled in Medicare?

Yes. Daniel Garcia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Garcia reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Childrens Hospital Of The Kings Daughters Inc (Norfolk, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Garcia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Daniel Garcia 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 Daniel Garcia was last updated on July 15, 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.