CARISA MARICE SUTHERLAND MD
NPI 1639194764
Pediatrics in Charlotte, NC

Q: What is Carisa Sutherland's NPI number?

The NPI number for Carisa Sutherland is 1639194764. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Carisa Sutherland's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carisa Sutherland was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since July 12, 2006PECOS Enrolled

231 S SHARON AMITY RD, CHARLOTTE, NC 28211(704) 304-6400(704) 442-7021 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2025, Oct 28, 2020 (2 updates tracked since 2020).

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About Carisa Marice Sutherland Md NPPES

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

CARISA MARICE SUTHERLAND MD (NPI 1639194764) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2007-00120) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639194764

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCARISA MARICE SUTHERLANDCredential: MD

Location Address231 S SHARON AMITY RDCharlotte, NC 28211-2803

Mailing AddressPo Box 602148Charlotte, NC 28260-2148 · (704) 304-6400 · Fax (704) 442-7021

Phone(704) 304-6400

Fax(704) 442-7021

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1639194764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2007-00120

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.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 2007-00120 (NC)

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2007-00120 (NC)

231 S SHARON AMITY RD, Charlotte, NC 28211

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Other Identifiers 3

Medicaid1639194764NC

Medicaid5906365NC

MedicaidN0012BSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carisa Marice Sutherland 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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 12

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

CHRISTOPHER MALCOLM BRANNER MD

Pediatrics