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

Ryan Fillmore, MD

Individual provider Neurocritical Care Physician · NPI 1184043283

Ryan Fillmore, MD is a Neurology in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
12
Licensed in
CA, NC
In the registry since
2014
Specialties on file
4
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

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-9437
Fax: (704) 384-9440
Show map & directions

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

Specialties & licences

Neurocritical Care Physician (primary) Taxonomy 2084A2900X · Licence 2021-01709 (NC)
Neurocritical Care Physician Taxonomy 2084A2900X · Licence 155465 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence 2021-01709 (NC)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 2021-01709 (NC)

Record details

NPI number1184043283
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2014
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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