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THE SANGER CLINIC PA
NPI 1912073743
Dietitian, Registered in Charlotte, NC

Active since November 24, 2006
1001 BLYTHE BLVD STE 300, CHARLOTTE, NC 28203(704) 373-0212(704) 373-2626 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About The Sanger Clinic Pa NPPES

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

THE SANGER CLINIC PA (NPI 1912073743) is a healthcare organization registered as a dietitian, registered in Charlotte, North Carolina and active in the NPI registry since November 2006. The organization lists Stephen L. Wagner, Ceo-administrator, as its authorized official.

NPPES Registry Identity

NPI1912073743
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameTHE SANGER CLINIC PA
Location Address1001 BLYTHE BLVD STE 300Charlotte, NC 28203-5863
Mailing Address1001 Blythe Blvd Ste 300Charlotte, NC 28203-5863 · (704) 373-0212 · Fax (704) 373-2626
Phone(704) 373-0212
Fax(704) 373-2626
Organization SubpartNo
Authorized OfficialStephen L. WagnerCeo-administrator · (704) 373-0212
Enumeration DateNovember 24, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1912073743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

Other Identifiers 4

MedicaidGP0129SC
Medicaid8902815NC
Other02815NC · Bcbs
Medicaid028150SC

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

Other Providers at the Same Location NPPES 6

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

JOSEPH WILLIAM COOK M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-0212
SHERRIE RACKLEY WEBB PA-C
Physician Assistant (Medical)
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-0212
MARILYN BURTON KOWALCHUK RD, SCD, LDN
Dietitian, Registered
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-0212
LARRY DEAN NELSON PA-C
Physician Assistant (Medical)
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-0212
CHARLES ALISON SIMONTON III M.D.
Internal Medicine (Cardiovascular Disease)
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-0212
ANGEL LUIS PEREZ PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203
Mecklenburg County (704) 373-0212

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 The Sanger Clinic PA's NPI number?

The NPI number for The Sanger Clinic PA is 1912073743. It was assigned to this organization in the NPPES registry on November 24, 2006.

Where is The Sanger Clinic PA located?

The Sanger Clinic PA is located at 1001 Blythe Blvd Ste 300, Charlotte, NC 28203. The listed phone number is (704) 373-0212.

What is The Sanger Clinic PA's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for The Sanger Clinic PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.