OrganizationActive
Southpark Pediatrics, P.A.
NPI 1710215256 · Specialist · Charlotte, NC
Southpark Pediatrics, P.A. is a Specialist organization in Charlotte, NC (NPI 1710215256).
Provider details
- NPI number
- 1710215256
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Leslie Brown, Practice Administrator(704) 896-9830
- License
- 9501464 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
4601 Park Rd
Suite 100
Charlotte, NC 28209-3239
Phone: (704) 522-6656
Fax: (704) 522-6665
Street-level locationGet directions
Mailing address
4601 Park Rd
Charlotte, NC 28209-3239
Registry dates
- Enumerated
- 2009-11-20
- Last updated
- 2009-11-20
Frequently asked questions
- What is Southpark Pediatrics, P.A.'s NPI number?
- Southpark Pediatrics, P.A.'s National Provider Identifier (NPI) is 1710215256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southpark Pediatrics, P.A.?
- Southpark Pediatrics, P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southpark Pediatrics, P.A. located?
- Southpark Pediatrics, P.A.'s practice location on file with NPPES is 4601 Park Rd, Charlotte, NC 28209-3239.
- What is Southpark Pediatrics, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Southpark Pediatrics, P.A. is (704) 522-6656.
- Who is the authorized official for Southpark Pediatrics, P.A.?
- The authorized official listed on Southpark Pediatrics, P.A.'s NPPES record is Leslie Brown, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southpark Pediatrics, P.A.'s NPI active?
- Yes — Southpark Pediatrics, P.A.'s NPI (1710215256) is active in the NPPES registry as of the last update on 2009-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.