Individual provider Active NPI

Linda Gonzalez Royston, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1053786558
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008195 Issued in NC
Practice address
3500 Mt Holly Huntersville Rd Ste B
Charlotte, NC 28216-8644
Phone
(704) 317-2108
Fax
(704) 317-2194
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0815168 NC
Family Nurse Practitioner 363LF0000X 5008195 NC
Nurse Practitioner 363L00000X 5008195 NC Primary

Addresses

Primary practice location

3500 Mt Holly Huntersville Rd Ste B
Charlotte, NC 28216-8644

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

168 Norman Station Blvd Ste E
Mooresville, NC 28117-6349
Phone (704) 235-0686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lroyston79284@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
I20160208001702 NC Practitioner - Nurse Practitioner 1951605195 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

114 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

116 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

13129 S Tryon St
Suite 120
Charlotte, NC 28278-7915
Phone (980) 337-4662

1361 Klumac Rd
Salisbury, NC 28147-9086
Phone (704) 603-1175

17078 Nat Bynum LN
Unit 3
Cornelius, NC 28031-0507
Phone (704) 324-3975

179 Williamson Rd
Mooresville, NC 28117-6831
Phone (704) 324-3986

185 Williamson Rd
Mooresville, NC 28117-6831
Phone (844) 266-8268

3836 Corning PL
Charlotte, NC 28216-1224
Phone (704) 317-2108

445 S Kings Dr
Charlotte, NC 28204-3041
Phone (980) 308-0141

5303 Poplar Tent Rd
Suite 90
Concord, NC 28027-9720
Phone (980) 866-4493

8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143

9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590

9600 E Independence Blvd
Suite B
Matthews, NC 28105-4628
Phone (704) 815-5624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5008195NCMDNurse Practitioner
F0815168NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Nov 30, 2015 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 17, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 22, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 17, 2019 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Fastmed P.C. CurrentSince Jul 29, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Mar 1, 2016 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Mar 1, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 22, 2017 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients
Carolina Medicorp Enterprises Inc PastSince Oct 11, 2020 Accepting new patients

Locations (25 of 46)

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

3500 Mt Holly Huntersville Rd
Ste B
Charlotte, NC 28216
Phone (704) 317-2108

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

4815 Berewick Town Center Dr
Ste Cd
Charlotte, NC 28278
Phone (980) 337-4652

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

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

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

Interoperability endpoints

  • Direct secure messaging: lroyston79284@direct.novanthealth.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1053786558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MT HOLLY HUNTERSVILLE RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168644",
            "telephone_number": "704-317-2108",
            "fax_number": "704-317-2194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Norman Station Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176349",
            "country_code": "US",
            "telephone_number": "704-235-0686",
            "fax_number": "704-660-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYSTON",
        "first_name": "LINDA",
        "middle_name": "GONZALEZ",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "F0815168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008195",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lroyston79284@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3500 Mt Holly Huntersville Rd Ste B",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282168644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.