NPIMap

Individual provider Active NPI

Jeanann Vawter, NP

  • Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1043253776
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
147845 Issued in NC
Practice address
924 Cox Road
Gastonia, NC 28054
Phone
(704) 869-0075
Fax
(704) 869-8875
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 147845 NC Primary

Addresses

Primary practice location

924 Cox Road
Gastonia, NC 28054

Mailing address

9735 Kincey Ave
Suite 201
Huntersville, NC 28078-9118
Phone (704) 414-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040930000859 NC Practitioner - Nurse Practitioner 3870562333 Reassigns benefits to 1 organization
I20170104001328 SC Practitioner - Nurse Practitioner 3870562333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of the Carolinas PLLCGroup PAC ID 0648178020, 78 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

101 E W T Harris Blvd
Suite 5201
Charlotte, NC 28262-3422
Phone (704) 547-1495

40 Pinnacle Pkwy
Elgin, SC 29045-8390
Phone (803) 424-8020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 1, 2021 Accepting new patients
Urology Specialists of the Carolinas PLLC CurrentSince Jan 6, 2026 Accepting new patients
Musc Community Physicians Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

101 E Wt Harris Blvd
Ste 3301
Charlotte, NC 28262
Phone (704) 403-1308

101 E Wt Harris Blvd
Ste 5201
Charlotte, NC 28262
Phone (704) 547-1495

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1111 Mill St
Camden, SC 29020
Phone (803) 425-1330

40 Pinnacle Pkwy
Elgin, SC 29045
Phone (803) 424-5160

40 Pinnacle Pkwy
Ste 212
Elgin, SC 29045
Phone (803) 424-5161

Interoperability endpoints

  • Direct secure messaging: jvawter379678@direct.musc.edu

Organizations & group practices 5

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 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1043253776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-414-2870",
            "fax_number": "704-414-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 COX ROAD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-869-0075",
            "fax_number": "704-869-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAWTER",
        "first_name": "JEANANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "147845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.