Healthcare Provider Details

I. General information

NPI: 1447715941
Provider Name (Legal Business Name): ASCEND HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2019
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10831 PINEVILLE RD STE 9
PINEVILLE NC
28134-8137
US

IV. Provider business mailing address

10831 PINEVILLE RD STE 9
PINEVILLE NC
28134-8137
US

V. Phone/Fax

Practice location:
  • Phone: 980-299-1011
  • Fax: 980-422-0133
Mailing address:
  • Phone: 980-299-1011
  • Fax: 980-422-0133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE DAUGHERTY JONES
Title or Position: ADMINISTRATOR
Credential:
Phone: 704-962-2785