Individual provider Active NPI

Elizabeth Lindsay Montague-Farwell, D.O.

  • Obstetrics & Gynecology Physician
  • Matthews, NC
National Provider Identifier
1043690480
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2019-01682 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 300
Matthews, NC 28105-5332
Phone
(704) 321-1077
Fax
(704) 321-1086
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X LL37670 SC
Obstetrics & Gynecology Physician 207V00000X 2019-01682 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 300
Matthews, NC 28105-5332

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1801 Sunset Drive
Women's Center
Columbia, SC 29203
Phone (803) 434-4127

Other practice location 2

416 E 36th St Su 200
Charlotte, NC 28205
Phone (980) 302-9820

Other practice location 3

1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112
Phone (704) 377-5675

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emontaguefarwell739351@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003000923 NC Practitioner - Obstetrics/Gynecology 6608167093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 200
Mooresville, NC 28117-7594
Phone (704) 316-4830

416 E 36TH St
Suite 200
Charlotte, NC 28205-1030
Phone (980) 302-9820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019-01682NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Medical Group, Inc. CurrentSince Jul 21, 2019 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 21, 2019 Accepting new patients
Novant Medical Group, Inc. Obstetrics & Gynecology CurrentSince Mar 17, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations (25 of 27)

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000

416 E 36th St
Ste 200
Charlotte, NC 28205
Phone (980) 302-9800

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-2319

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860

106 Langtree Village Dr
Ste 200
Mooresville, NC 28117
Phone (704) 316-5570

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

Interoperability endpoints

  • Direct secure messaging: emontaguefarwell739351@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1043690480",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 300",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055332",
            "telephone_number": "704-321-1077",
            "fax_number": "704-321-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Sunset Drive",
            "address_2": "Women's Center",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-434-4127",
            "fax_number": "803-434-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 E 36th St Su 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28205",
            "country_code": "US",
            "telephone_number": "980-302-9820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 Randolph Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071112",
            "country_code": "US",
            "telephone_number": "704-377-5675",
            "fax_number": "704-335-8163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE-FARWELL",
        "first_name": "ELIZABETH",
        "middle_name": "LINDSAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "LL37670",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2019-01682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emontaguefarwell739351@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1801 Sunset Drive",
            "address_2": "Women's Center",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.