Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cannercharles PLLC

Organization Primary Care Clinic/Center · NPI 1215755764

Cannercharles PLLC is a Primary Care Clinic/Center in Corolla, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1129 Corolla Village Rd C
Corolla, NC 27927
Phone: (252) 597-1157
Fax: (833) 972-1688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1215755764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Krauter — Billing Manager · (757) 523-0022
Other names Lighthouse Medical Care
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780