Individual provider Active NPI

Nicole Hadley, DO

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1003234857
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS018751 Issued in PA
Practice address
136 E 36T St Suite 200
Charlotte, NC 28206
Phone
(704) 801-3400
NPI assigned
Mar 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2018-02789 NC
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X OS018751 PA Primary

Addresses

Primary practice location

136 E 36T St Suite 200
Charlotte, NC 28206

Mailing address

136 E 36TH St Ste 200
Charlotte, NC 28206-2018

Other practice location 1

2775 Mosside Blvd
monroeville, PA 15146
Phone (412) 357-3161

Other practice location 2

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000

Other identifiers 1

IdentifierTypeStateIssuer
1033022310001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219002112 NC Practitioner - Emergency Medicine 0042432601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

136 E 36TH St
Suite 200
Charlotte, NC 28206-2018
Phone (704) 801-3400

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health North Market Network LLC Emergency Medicine CurrentSince Sep 5, 2023 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Dec 27, 2018 Accepting new patients
Wake Forest Emergency Providers CurrentSince Apr 3, 2024 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

3536 Mt Holly Huntersville Rd
Charlotte, NC 28216
Phone (704) 801-6500

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

136 E 36th St
Ste 200
Charlotte, NC 28206
Phone (704) 801-3400

6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

Interoperability endpoints

  • Direct secure messaging: nwilson537257@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1003234857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 36TH ST STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 36T ST SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28206",
            "telephone_number": "704-801-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Mosside Blvd",
            "address_purpose": "LOCATION",
            "city": "monroeville",
            "state": "PA",
            "postal_code": "15146",
            "country_code": "US",
            "telephone_number": "412-357-3161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Akron General Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443072432",
            "country_code": "US",
            "telephone_number": "330-344-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-30",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2018-02789",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS018751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033022310001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.