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
- 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 15 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) |
|---|---|---|---|---|
| 1 | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | 77796 (NC) |
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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 2 | 5 | 6 | 2 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 4 | 5 | 12 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 4 + 5 + 1 + 2 + 2 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1922256254 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114942927 | CAROLINA UROLOGY CENTER, PA Organization | Urology | 10620 PARK RD SUITE 218 CHARLOTTE, NC 28210 (704) 543-7186 |
| 1306852512 | CHRISTINE D CAESAR PT Individual | Physical Therapist | 10620 PARK RD SUITE 200 CHARLOTTE, NC 28210 (704) 667-5200 |
| 1154337301 | MARCO A CAIAZZA PT Individual | Physical Therapist | 10620 PARK RD SUITE 200 CHARLOTTE, NC 28210 (704) 667-2500 |
| 1750397568 | EILEEN M KEOGH PT Individual | Physical Therapist | 10620 PARK RD SUITE 200 CHARLOTTE, NC 28210 (704) 667-2500 |
| 1164439477 | LUKE A WATSON OT Individual | Occupational Therapist | 10620 PARK RD SUITE 200 CHARLOTTE, NC 28210 (704) 667-2500 |
| 1336292937 | MARY F DRAIZE PT Individual | Physical Therapist | 10620 PARK RD SUITE 200 CHARLOTTE, NC 28210 (704) 667-2500 |
| 1164621520 | MRS. MONICA REBECCA GALLANT RD Individual | Dietitian, Registered | 10620 PARK RD CHARLOTTE, NC 28210 (704) 543-2111 |
| 1821234493 | SUZANNE M EMORY OT Individual | Occupational Therapist | 10620 PARK RD CHARLOTTE, NC 28210 (704) 667-2500 |
| 1407095631 | MS. ATHENA MARKELLA KORTESIS NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 10620 PARK RD SUITE 128 CHARLOTTE, NC 28210 (704) 542-6111 |
| 1154654549 | LYNDA S GREENE PT Individual | Physical Therapist | 10620 PARK RD CHARLOTTE, NC 28210 (704) 667-2500 |
| 1740688506 | MRS. KATHERINE DILLINGER P.T. Individual | Physical Therapist | 10620 PARK RD CHARLOTTE, NC 28210 (704) 667-2500 |
| 1922015791 | JENNIFER H WARREN SLP Individual | Speech-Language Pathologist | 10620 PARK RD SUITE 200 CHARLOTTE, NC 28210 (704) 667-2500 |
| 1336538511 | AMY ELIZABETH LUKACS M.A. Individual | Speech-Language Pathologist | 10620 PARK RD #200 CHARLOTTE, NC 28210 (248) 917-9510 |
| 1902264435 | RALEIGH DURHAM MEDICAL GROUP, PA Organization | Internal Medicine | 10620 PARK RD SUITE 128 CHARLOTTE, NC 28210 (704) 542-6111 |
| 1548217300 | SHELLEY MCELHANON P.A. Individual | Physician Assistant | 10620 PARK RD SUITE 128 CHARLOTTE, NC 28210 (704) 542-6111 |
| 1922347806 | CAROLINAS PHYSICIANS NETWORK INC Organization | Family Medicine | 10620 PARK RD BUILDING 400 CHARLOTTE, NC 28210 (800) 378-3947 |
| 1013389451 | DANIELLE DEPIERRO THOMAS PA Individual | Physician Assistant | 10620 PARK RD STE 202 CHARLOTTE, NC 28210 (704) 667-0920 |
| 1033196399 | DAVID A. COSENZA MD Individual | Family Medicine | 10620 PARK RD STE 202 CHARLOTTE, NC 28210 (704) 667-0920 |
| 1033460084 | DARA M CRAWFORD FNP Individual | Nurse Practitioner | 10620 PARK RD STE 202 CHARLOTTE, NC 28210 (704) 667-0920 |
| 1063687747 | JERONA ALYSSE LEWIS MD Individual | Family Medicine | 10620 PARK RD STE 202 CHARLOTTE, NC 28210 (704) 667-0920 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922256254, enumerated in the NPI registry 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
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider's CLIA number is 34D2126667 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued 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..
This NPI record was last updated on August 28, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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