Southpark Functional Medicine PLLC
NPI 1275223638 · Internal Medicine Physician · Charlotte, NC
Southpark Functional Medicine PLLC is a Internal Medicine Physician organization in Charlotte, NC (NPI 1275223638).
Provider details
- NPI number
- 1275223638
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sarita Mahtani, Physician(704) 560-3316
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-10
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Frequently asked questions
- What is Southpark Functional Medicine PLLC's NPI number?
- Southpark Functional Medicine PLLC's National Provider Identifier (NPI) is 1275223638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southpark Functional Medicine PLLC?
- Southpark Functional Medicine PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southpark Functional Medicine PLLC located?
- Southpark Functional Medicine PLLC's practice location on file with NPPES is 5950 Fairview Rd Ste 406, Charlotte, NC 28210-3113.
- What is Southpark Functional Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southpark Functional Medicine PLLC is (704) 560-3316.
- Who is the authorized official for Southpark Functional Medicine PLLC?
- The authorized official listed on Southpark Functional Medicine PLLC's NPPES record is Sarita Mahtani, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southpark Functional Medicine PLLC's NPI active?
- Yes — Southpark Functional Medicine PLLC's NPI (1275223638) is active in the NPPES registry as of the last update on 2023-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.