OrganizationActive
Charlotte Eye Ear Nose & Throat Associates, PA
NPI 1528423068 · Otolaryngology Physician · Mooresville, NC
Provider details
- NPI number
- 1528423068
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jag Gill, Ceo(704) 295-3000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
149 Plantation Ridge Drive
Suite 190
Mooresville, NC 28117-9178
Phone: (704) 658-0595
Fax: (704) 658-0916
Street-level locationGet directions
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.