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

Genesis ENT & Plastic Surgery, PLLC

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1366484958

Genesis ENT & Plastic Surgery, PLLC is an Otolaryngology/Facial Plastic Surgery Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14835 John J Delaney Dr Ste 210
Charlotte, NC 28277-2738
Phone: (704) 544-1300
Fax: (704) 544-2765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 9700531 (NC)

Record details

NPI number1366484958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Ford — Administrator · (704) 544-1300
NPI enumeratedJune 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address14835 John J Delaney Dr, Suite 210, Charlotte, NC 28277-2738

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