ELIZABETH ANNE SUPER MD
NPI 1790986073
Pediatrics in Charlotte, NC

Q: What is Elizabeth Super's NPI number?

The NPI number for Elizabeth Super is 1790986073. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Q: What is Elizabeth Super'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 Elizabeth Super was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 31, 2007

425 S SHARON AMITY RD STE B, CHARLOTTE, NC 28211(980) 260-0900 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2022, Jan 6, 2021, Dec 29, 2020 and 40 more (43 updates tracked since 2018).

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About Elizabeth Anne Super Md NPPES

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

ELIZABETH ANNE SUPER MD (NPI 1790986073) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2010-01552) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1790986073

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameELIZABETH ANNE SUPERCredential: MD

Location Address425 S SHARON AMITY RD STE BCharlotte, NC 28211-2841

Mailing Address3201 Glen TerCharlotte, NC 28211-3494 · (704) 430-8590

Phone(980) 260-0900

Sole ProprietorNo

Enumeration DateMay 31, 2007

Last NPPES UpdateSeptember 5, 202243 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2022

✔ NPI 1790986073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2010-01552

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.

425 S SHARON AMITY RD STE B, Charlotte, NC 28211

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Other Providers at the Same Location NPPES

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

RICHARD J POCKAT DDS PA

Clinic/Center (Dental)

425 S SHARON AMITY RD STE B
CHARLOTTE, NC 28211

Mecklenburg County (704) 364-6422

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 Elizabeth Super's NPI number?

The NPI number for Elizabeth Super is 1790986073. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Elizabeth Super located?

Elizabeth Super practices at 425 S Sharon Amity Rd Ste B, Charlotte, NC 28211. The listed phone number is (980) 260-0900.

What is Elizabeth Super's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Super was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.