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

Johnson C. Smith University

Organization Sports Medicine (Family Medicine) Physician · NPI 1336680388

Johnson C. Smith University is a Sports Medicine (Family Medicine) Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017

Practice location Address checks out

100 Beatties Ford Rd
Charlotte, NC 28216-5302
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence NC200001254 (NC)

Record details

NPI number1336680388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Jcs University Sports Medicine
NPI enumeratedMarch 10, 2017
Last updated in NPPESMarch 10, 2017
Mailing address5050 Spring Valley Rd., Dallas, TX 75244-3909

Other providers in Charlotte