Individual provider Active NPI

Matthew Robert Dunlap, PA-C

  • Physician Assistant
  • Monroe, NC
National Provider Identifier
1023542669
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07128 Issued in NC
Practice address
2000 Wellness Blvd Ste 140
Monroe, NC 28110-3354
Phone
(704) 316-2338
NPI assigned
Apr 19, 2017
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07128 NC Primary

Addresses

Primary practice location

2000 Wellness Blvd Ste 140
Monroe, NC 28110-3354

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-2338

Other practice location 1

12530 Darby Chase Dr
Charlotte, NC 28277-2645
Phone (704) 814-6938

Other practice location 2

12530 Darby Chase Dr
Charlotte, NC 28277-2645
Phone (704) 814-6938

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdunlap515420@direct.novanthealth.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104000220 NC Practitioner - Physician Assistant 9830457423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

12611 N Community House Rd
Suite 100
Charlotte, NC 28277-3817
Phone (704) 316-3410

2000 Wellness Blvd
Monroe, NC 28110-3354

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

4741 Randolph Rd
Charlotte, NC 28211-2919
Phone (704) 365-6730

5145 Sellers Rd
Shallotte, NC 28470-3405

8110 Healthcare Loop
Charlotte, NC 28215-7069

8201 Health Loop
Charlotte, NC 28215-7072

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc CurrentSince Jun 6, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2017 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2017 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

4741 Randolph Rd
Ste 100200
Charlotte, NC 28211
Phone (704) 365-6730

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

2000 Wellness Blvd
Ste 140
Monroe, NC 28110
Phone (704) 316-2338

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mdunlap515420@direct.novanthealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 5

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": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1023542669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS BLVD STE 140",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103354",
            "telephone_number": "704-316-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12530 Darby Chase Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772645",
            "country_code": "US",
            "telephone_number": "704-814-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12530 Darby Chase Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772645",
            "country_code": "US",
            "telephone_number": "704-814-6938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdunlap515420@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "12530 Darby Chase Dr",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.