Active NPI
Walter John Peppers, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5014420
- Practice address
- 1350 S Kings Dr
Charlotte, NC 28207-2134 - Phone
- (704) 446-4490
- NPI assigned
- Jul 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5014420 | NC | Primary |
Addresses
Primary practice location
1350 S Kings Dr
Charlotte, NC 28207-2134
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1237 Harding Pl
Ste 3200
Charlotte, NC 28204
Phone (704) 355-5375
Other practice location 2
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 291-6904
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wpeppers499675@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014420 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1237 Harding Pl
Ste 3200
Charlotte, NC 28204
Phone (704) 355-5375
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
Interoperability endpoints
- wpeppers499675@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 7
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.
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Specialist
- Charlotte, NC
- NPI 1689628158
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Critical Care Medicine (Internal Medicine) Physician
- Monroe, NC
- NPI 1821345919
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1194247668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072134",
"telephone_number": "704-446-4490"
}
],
"practiceLocations": [
{
"address_1": "1237 Harding Pl",
"address_2": "Ste 3200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-355-5375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Lauchwood Dr",
"address_purpose": "LOCATION",
"city": "Laurinburg",
"state": "NC",
"postal_code": "283525501",
"country_code": "US",
"telephone_number": "910-291-6904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEPPERS",
"first_name": "WALTER",
"middle_name": "JOHN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-17",
"last_updated": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5014420",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wpeppers499675@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1350 S Kings Dr",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282072134",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.