Individual provider Active NPI

Gretchen Diane Jopp, PA-C

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1114475605
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06783 Issued in NC
Practice address
10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7221
Phone
(704) 316-3070
Fax
(704) 316-3071
NPI assigned
Sep 14, 2016
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NC
Physician Assistant 363A00000X 0010-06783 NC Primary

Addresses

Primary practice location

10305 Hamptons Park Dr Ste 101
Huntersville, NC 28078-7221

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 638-8631

Other practice location 1

327 Mocksville Ave
Salisbury, NC 28144-3327
Phone (704) 638-8631

Other practice location 2

327 Mocksville Ave
Salisbury, NC 28144-3327
Phone (704) 638-8631

Other practice location 3

1910 Jake Alexander Blvd W Ste 201
Salisbury, NC 28147
Phone (704) 638-8631

Other names 1

  • Gretchen Diane Huhnerkoch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ghuhnerkoch407494@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
I20161221002171 NC Practitioner - Physician Assistant 7911288477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10305 Hamptons Park Dr
Suite 101
Huntersville, NC 28078-7217
Phone (704) 384-1130

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 343-9800

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

311 Coddle Market Dr NW
Concord, NC 28027-2432

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06783NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Oct 24, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 24, 2016 Accepting new patients

Locations

2801 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 367-4800

10305 Hamptons Park Dr
Ste 101
Huntersville, NC 28078
Phone (704) 316-5388

1910 Jake Alexander Blvd W
Ste 201
Salisbury, NC 28147
Phone (704) 638-8631

327 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-7800

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: ghuhnerkoch407494@direct.novanthealth.org

Organizations & group practices 3

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1114475605",
    "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": "704-638-8631",
            "fax_number": "704-638-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 HAMPTONS PARK DR STE 101",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787221",
            "telephone_number": "704-316-3070",
            "fax_number": "704-316-3071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281443327",
            "country_code": "US",
            "telephone_number": "704-638-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281443327",
            "country_code": "US",
            "telephone_number": "704-638-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Jake Alexander Blvd W Ste 201",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "28147",
            "country_code": "US",
            "telephone_number": "704-638-8631",
            "fax_number": "704-638-8639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOPP",
        "first_name": "GRETCHEN",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghuhnerkoch407494@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "327 Mocksville Ave",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281443327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "HUHNERKOCH",
            "middle_name": "DIANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.