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Jack Anderson
NPI 1417976234 · Pediatrics Physician · Charlotte, NC
Jack Anderson is a Pediatrics Physician provider in Charlotte, NC (NPI 1417976234).
Provider details
- NPI number
- 1417976234
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 30586 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
7030 Pineville Matthews Rd
Charlotte, NC 28226-8298
Phone: (704) 667-4150
Fax: (704) 752-7040
Street-level locationGet directions
Mailing address
Po Box 601067
Charlotte, NC 28260-1067
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2013-06-25
Frequently asked questions
- What is Jack Anderson's NPI number?
- Jack Anderson's National Provider Identifier (NPI) is 1417976234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Anderson's specialty?
- Jack Anderson is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Anderson located?
- Jack Anderson's practice location on file with NPPES is 7030 Pineville Matthews Rd, Charlotte, NC 28226-8298.
- What is Jack Anderson's phone number?
- The practice phone number listed in the NPPES registry for Jack Anderson is (704) 667-4150.
- Is Jack Anderson's NPI active?
- Yes — Jack Anderson's NPI (1417976234) is active in the NPPES registry as of the last update on 2013-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.