OrganizationActive
Genesis Project 1
NPI 1417364480 · Point of Service · Charlotte, NC
Genesis Project 1 is a Point of Service organization in Charlotte, NC (NPI 1417364480).
Provider details
- NPI number
- 1417364480
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Trasha Black, Clinical Director(704) 596-0505
- License
- P009049 (NC)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5108 Reagan Dr
Suite 14
Charlotte, NC 28206-3103
Phone: (704) 596-0505
Fax: (704) 596-0507
Street-level locationGet directions
Mailing address
5108 Reagan Dr
Charlotte, NC 28206-3103
Registry dates
- Enumerated
- 2014-07-22
- Last updated
- 2014-07-22
Frequently asked questions
- What is Genesis Project 1's NPI number?
- Genesis Project 1's National Provider Identifier (NPI) is 1417364480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Project 1?
- Genesis Project 1 is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Genesis Project 1 located?
- Genesis Project 1's practice location on file with NPPES is 5108 Reagan Dr, Charlotte, NC 28206-3103.
- What is Genesis Project 1's phone number?
- The practice phone number listed in the NPPES registry for Genesis Project 1 is (704) 596-0505.
- Who is the authorized official for Genesis Project 1?
- The authorized official listed on Genesis Project 1's NPPES record is Trasha Black, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Project 1's NPI active?
- Yes — Genesis Project 1's NPI (1417364480) is active in the NPPES registry as of the last update on 2014-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.