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Genesis Project 1

Point of Service in Charlotte, NC · enumerated 2014 · authorized official Trasha Black, Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417364480

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Project 1
Practice address 5108 Reagan Dr, Suite 14, Charlotte, NC, 28206
Fax (704) 596-0507
Enumeration date Jul 22, 2014
Last updated in NPPES Jul 22, 2014

Taxonomy & classification

305S00000X Point of Service Managed Care Organizations · License P009049 (NC) Primary

Authorized official

Name Trasha Black
Title Clinical Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Genesis Project 1?
The NPI for Genesis Project 1 is 1417364480, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Genesis Project 1?
NPPES lists Trasha Black (Clinical Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-22.