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NPISignal

Individual Healthcare Provider

Courtney Gregg Self, MD

NPI Record: ActivePediatrics
NPI1205196037
Matthews, North Carolina

Provider's NPPES record last updated: September 20, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1205196037
Primary Specialty
Pediatrics
Practice Location
Matthews, North Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 7:07 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X

Provider-Reported License Information

Pediatrics (North Carolina)
2017-02197
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

201 E Matthews St Ste 100

Matthews, North Carolina 28105

Phone: (704) 847-0572

Additional Practice Location

1001 Blythe Blvd

Medical Center Plaza, Suite 200

Charlotte, North Carolina 28203-5866

Phone: (704) 381-8840

Additional Practice Location

14214 Ballantyne Lake Rd

Charlotte, North Carolina 28277-3372

Phone: (704) 381-8840

Additional Practice Location

2550 Court Dr

Gastonia, North Carolina 28054-2152

Phone: (704) 381-8840

Additional Practice Location

920 Church St N

Concord, North Carolina 28025-2927

Phone: (704) 403-3664

Additional Practice Location

920 Church St N

Concord, North Carolina 28025-2927

Phone: (704) 403-3664

Additional Practice Location

1350 S Kings Dr

Charlotte, North Carolina 28207-2134

Phone: (704) 446-1422

Record Information

Enumeration Date
May 28, 2012
Provider's NPPES Record Last Updated
September 20, 2023
Certification Date
September 20, 2023
NPISignal NPPES Dataset
August 2026

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