OrganizationActive
Genesis Sports Management
NPI 1063726388 · Community/Behavioral Health Agency · Charlotte, NC
Genesis Sports Management is a Community/Behavioral Health Agency organization in Charlotte, NC (NPI 1063726388).
Provider details
- NPI number
- 1063726388
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Derichard Mccoy, Owner(980) 253-1393
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2861 Oasis Ln
Charlotte, NC 28214-8866
Phone: (704) 587-2679
Street-level locationGet directions
Mailing address
2861 Oasis Ln
Charlotte, NC 28214-8866
Registry dates
- Enumerated
- 2010-07-28
- Last updated
- 2010-07-28
Frequently asked questions
- What is Genesis Sports Management's NPI number?
- Genesis Sports Management's National Provider Identifier (NPI) is 1063726388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Sports Management?
- Genesis Sports Management is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Genesis Sports Management located?
- Genesis Sports Management's practice location on file with NPPES is 2861 Oasis Ln, Charlotte, NC 28214-8866.
- What is Genesis Sports Management's phone number?
- The practice phone number listed in the NPPES registry for Genesis Sports Management is (704) 587-2679.
- Who is the authorized official for Genesis Sports Management?
- The authorized official listed on Genesis Sports Management's NPPES record is Derichard Mccoy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Sports Management's NPI active?
- Yes — Genesis Sports Management's NPI (1063726388) is active in the NPPES registry as of the last update on 2010-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.