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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
NPI 1750788675
Otolaryngology in Fort Mill, SC

Active since November 20, 2014CLIA 42D2299982 · Waiver
601 SUTTON RD S STE 201, FORT MILL, SC 29715(803) 547-3800(803) 547-3803 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2022, Dec 23, 2019 (2 updates tracked since 2019).

About Charlotte Eye Ear Nose & Throat Associates, Pa NPPES

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

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA (NPI 1750788675) is a healthcare organization registered as an otolaryngology in Fort Mill, South Carolina and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through February 29, 2028, maintains a secondary practice location in Fort Mill, and lists Jag S Gill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750788675
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Location Address601 SUTTON RD S STE 201Fort Mill, SC 29715-8439
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000
Phone(803) 547-3800
Fax(803) 547-3803
Organization SubpartNo
Authorized OfficialJag S GillCeo · (704) 295-3000
Enumeration DateNovember 20, 2014
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1750788675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
601 SUTTON RD S STE 201, Fort Mill, SC 29715
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Secondary Practice Location 1

Location 11698 Highway 160 W, Suite 240Fort Mill, SC 29708-8032 · Phone (803) 547-3800 · Fax (803) 547-3803

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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 42D2299982

Charlotte Eye Ear Nose & Throat Associates PA · Fort Mill, SC
Active · expires Feb 29, 2028
CLIA Number42D2299982
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDr. Christopher Jones
Laboratory Phone(704) 295-3412
Laboratory LocationCharlotte Eye Ear Nose & Throat Associates PA601 S Sutton Road, Suite 201, Fort Mill, SC 29715
CLIA data matches this NPI record on: Name
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.

ELENA CATHERINE LESCHACK
Physician Assistant
601 SUTTON RD S STE 201
FORT MILL, SC 29715
York County (803) 547-3800
SARAH CROSBY BERNACKI AUD
Audiologist
601 SUTTON RD S STE 201
FORT MILL, SC 29715
York County (803) 547-3800
MR. CHRISTOPHER TODD JONES M.D.
Otolaryngology
601 SUTTON RD S STE 201
FORT MILL, SC 29715
York County (803) 328-1864
DR. SUNITHA SEQUEIRA M.D.
Otolaryngology
601 SUTTON RD S STE 201
FORT MILL, SC 29715
York County (803) 547-3800

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 Charlotte Eye Ear Nose & Throat Associates, PA's NPI number?

The NPI number for Charlotte Eye Ear Nose & Throat Associates, PA is 1750788675. It was assigned to this organization in the NPPES registry on November 20, 2014.

Where is Charlotte Eye Ear Nose & Throat Associates, PA located?

Charlotte Eye Ear Nose & Throat Associates, PA is located at 601 Sutton Rd S Ste 201, Fort Mill, SC 29715. The listed phone number is (803) 547-3800.

What is Charlotte Eye Ear Nose & Throat Associates, PA's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Charlotte Eye Ear Nose & Throat Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2299982) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charlotte Eye Ear Nose & Throat Associates, PA accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list Charlotte Eye Ear Nose & Throat Associates, PA 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 Charlotte Eye Ear Nose & Throat Associates, PA was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.