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

Dr. Thomas Jackson Vandiver, MD

Individual provider Gynecology Physician · NPI 1902896756

Dr. Thomas Jackson Vandiver, MD is a Gynecology Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Providence Rd
Charlotte, NC 28207-1218
Phone: (704) 973-2106
Fax: (704) 973-2395
Show map & directions

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

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 24305 (NC)

Record details

NPI number1902896756
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESMarch 11, 2015

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