METROLINA PLASTIC SURGERY
NPI 1922256254
Family Medicine in Charlotte, NC

NPI Status: Active since August 28, 2008

Contact Information

10620 PARK RD
SUITE 102
CHARLOTTE, NC
ZIP 28210
Phone: (305) 866-9951
Fax: (877) 284-8933

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  • Organization
  • Family Medicine
  • CLIA Number: 34D2126667
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-17-2027

About METROLINA PLASTIC SURGERY

This page provides the complete NPI Profile along with additional information for Metrolina Plastic Surgery, a primary care provider established in Charlotte, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922256254 assigned on August 2008. The practitioner's primary taxonomy code is 207Q00000X with license number 77796 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Metrolina Plastic Surgery. The authorized official of this NPI record is Dr. Broc Lane Pratt M.d. (President)

NPI
1922256254
Provider Legal Name
NC MEDTECH PLLC
Other Organization Name
METROLINA PLASTIC SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10620 PARK RD SUITE 102 CHARLOTTE, NC 28210
Location Phone
(305) 866-9951
Location Fax
(877) 284-8933
Mailing Address
10620 PARK RD SUITE 102 CHARLOTTE, NC 28210
Mailing Phone
(704) 541-7654
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2008
Last Update Date
03-11-2010
Code Navigator

A primary care provider (PCP) like Metrolina Plastic Surgery sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
77796
License State
NC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

77796 (NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BROC LANE PRATT M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(704) 541-7654

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2126667
Facility Type
Physician Office
Certificate Effective Date
February 18, 2025
Certificate Expiration Date
February 17, 2027
Laboratory Director
SASHA J. HABERLE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Metrolina Plastic Surgery after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922256254, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 4 + 5 + 1 + 2 + 2 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1922256254.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
10620 PARK RD, SUITE 218
CHARLOTTE, NC 28210
Physical Therapist
10620 PARK RD, SUITE 200
CHARLOTTE, NC 28210
Physical Therapist
10620 PARK RD, SUITE 200
CHARLOTTE, NC 28210
Physical Therapist
10620 PARK RD, SUITE 200
CHARLOTTE, NC 28210
Occupational Therapist
10620 PARK RD, SUITE 200
CHARLOTTE, NC 28210
Physical Therapist
10620 PARK RD, SUITE 200
CHARLOTTE, NC 28210
Dietitian, Registered
10620 PARK RD
CHARLOTTE, NC 28210
Occupational Therapist
10620 PARK RD
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
10620 PARK RD, SUITE 128
CHARLOTTE, NC 28210
Physical Therapist
10620 PARK RD
CHARLOTTE, NC 28210
Physical Therapist
10620 PARK RD
CHARLOTTE, NC 28210
Speech-Language Pathologist
10620 PARK RD, SUITE 200
CHARLOTTE, NC 28210
Speech-Language Pathologist
10620 PARK RD, #200
CHARLOTTE, NC 28210
Internal Medicine
10620 PARK RD, SUITE 128
CHARLOTTE, NC 28210
Physician Assistant
10620 PARK RD, SUITE 128
CHARLOTTE, NC 28210
Family Medicine
10620 PARK RD, BUILDING 400
CHARLOTTE, NC 28210
Family Medicine
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Family Medicine
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Physician Assistant
10620 PARK RD, STE 202
CHARLOTTE, NC 28210
Pediatrics
10620 PARK RD, STE 202
CHARLOTTE, NC 28210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922256254, enumerated as an "organization" on August 28, 2008.

The provider is located at 10620 PARK RD SUITE 102 CHARLOTTE, NC 28210 and the phone number is (305) 866-9951.

Family Medicine with taxonomy code 207Q00000X.