Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Pediatrics Physician · Monroe, NC

NPI number 1114564416 Active

Practice location

150 Winchester Ave
Monroe, NC 28110-3161

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 1001 Blythe Blvd, Ste 200, Charlotte, NC 28203-5866 · (704) 355-6930
  • 465 N Wendover Rd, Charlotte, NC 28211-1064 · (704) 446-7511
  • 1001 Blythe Blvd, Ste 601, Charlotte, NC 28203-5866 · (704) 355-6930
  • 3541 Randolph Rd, Ste 210, Charlotte, NC 28211-1082 · (704) 381-8336
  • 1001 Blythe Blvd, Ste M201, Charlotte, NC 28203-5866 · (704) 355-6930

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed
Child Abuse Pediatrics Physician 2080C0008XNone listed
Neurology Physician 2084N0400XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed

Pediatrics Physician: 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 de…

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About NPI 1114564416

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1114564416, issued on Dec 5, 2019. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Monroe, NC. The record was last updated on Oct 21, 2025.