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

Genesis Sports Management

Organization Community/Behavioral Health Agency · NPI 1063726388

Genesis Sports Management is a Community/Behavioral Health Agency in Charlotte, North Carolina. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2861 Oasis Ln
Charlotte, NC 28214-8866
Phone: (704) 587-2679
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1063726388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derichard McCoy — Owner · (980) 253-1393
NPI enumeratedJuly 28, 2010
Last updated in NPPESJuly 28, 2010
Mailing address2861 Oasis Ln, Charlotte, NC 28214-8866

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