Susan Foster Massengill

MD | Pediatric Nephrology | Female

---

Complete Profile:

Susan Foster Massengill basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Nephrology
Provider Name :	Susan Foster Massengill
Credential :	MD
Gender :	Female

Business Address:

Susan Foster Massengill address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1001 Blythe Blvd, Medical Center Plaza Suite 200 Charlotte, NC, 28203-5866 United States
Phone Number :	704-381-8840

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1154335180
NPI Entity Type :	Individual
First Enrolment Date :	27 Jul, 2006
Last Updated On :	04 May, 2023

Medicare Participation:

Susan Foster Massengill participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0244334951
Medicare Enrollment ID :	I20070404000471
Primary Specialty :	Pediatric Medicine
Medical School :	Brody School Of Medicine At East Carolina University
Graduation Year :	1987
Accepts Medicare?	Yes. Susan Foster Massengill accepts medicare insurance.

Group Practice Association:

Susan Foster Massengill is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Susan Foster Massengill is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Carolinas Medical Center	4789597477	728	1000 Blythe Blvd Charlotte, NC - 282035812 Ph: 7043552165	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Foster Massengill are as mentioned. Primary taxonomy code for Susan Foster Massengill, MD is 2080P0210X (Pediatrics, Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	33272	NC
2080P0210X	Pediatrics, Pediatric Nephrology	Yes	33272	NC

Other Practice Locations:

Practice Address	City, State	Phone Number
2550 COURT DR, GASTONIA, NC, 28054-2152 United States	GASTONIA, NC	704-381-8840
1781 TATE BLVD SE, HICKORY, NC, 28602-4251 United States	HICKORY, NC	704-381-8840

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 19305 Charlotte, NC, 28219-9305 United States

Business Location:

Patients can refer following map for directions to Susan Foster Massengill practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.