Individual provider Active NPI

Leah C.a. Doane, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1093176745
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06108 Issued in NC
Practice address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone
(704) 334-7800
NPI assigned
Mar 9, 2016
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 0010-06108 NC Primary

Addresses

Primary practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Other practice location 1

600 W Trade St Ste B
Dallas, NC 28034
Phone (980) 834-9170

Other practice location 2

16525 Holly Crest Ln Ste 150&120
Huntersville, NC 28078
Phone (704) 384-1725

Other practice location 3

16525 Holly Crest Ln Ste 150&120
Huntersville, NC 28078
Phone (704) 384-1725

Other practice location 4

3500 Mt Holly Huntersville Rd
Charlotte, NC 28216-8644
Phone (704) 317-2108

Other practice location 5

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583
Phone (704) 384-1775

Other names 1

  • Leah C.a. Guerra Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldoane741475@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
I20160610000500 NC Practitioner - Physician Assistant 5496045080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945

1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945

10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 362-1945

724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone (704) 295-3550

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 612-4955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince May 1, 2016 Accepting new patients
Caromont Medical Group Inc CurrentSince May 1, 2016 Accepting new patients

Locations

600 W Trade St
Ste B
Dallas, NC 28034
Phone (980) 834-9170

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

Interoperability endpoints

  • Direct secure messaging: ldoane487972@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ldoane741475@direct.novanthealth.org

Organizations & group practices 4

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 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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1093176745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Trade St Ste B",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "NC",
            "postal_code": "28034",
            "country_code": "US",
            "telephone_number": "980-834-9170",
            "fax_number": "980-834-9870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16525 Holly Crest Ln Ste 150&120",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "704-384-1725",
            "fax_number": "704-384-1726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16525 Holly Crest Ln Ste 150&120",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "704-384-1725",
            "fax_number": "704-384-1726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Mt Holly Huntersville Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282168644",
            "country_code": "US",
            "telephone_number": "704-317-2108",
            "fax_number": "704-317-2194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19485 Old Jetton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280316583",
            "country_code": "US",
            "telephone_number": "704-384-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOANE",
        "first_name": "LEAH",
        "middle_name": "C.A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldoane741475@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "600 W Trade St Ste B",
            "city": "Dallas",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "GUERRA",
            "middle_name": "C.A.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.