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

Charlotte Sports Medicine Institute, PA

Organization Orthopaedic Surgery Physician · NPI 1366684771

Charlotte Sports Medicine Institute, PA is an Orthopaedic Surgery Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10616 Metromont Pkwy Ste 106
Charlotte, NC 28269-7656
Phone: (704) 509-6427
Fax: (704) 509-6964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 009700704 (NC)

Record details

NPI number1366684771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Paul — Owner · (704) 509-6427
NPI enumeratedMarch 31, 2009
Last updated in NPPESDecember 8, 2014
Mailing address10616 Metromont Pkwy, Suite 106, Charlotte, NC 28269-7656

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