Individual provider Active NPI

Carolyn Johnston Highstone

  • Adult Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1194431239
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5017368 Issued in NC
Practice address
6429 Bannington Rd
Charlotte, NC 28226-1344
Phone
(704) 503-9338
Fax
(704) 503-9339
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5017368 NC Primary

Addresses

Primary practice location

6429 Bannington Rd
Charlotte, NC 28226-1344

Mailing address

6429 Bannington Rd
Charlotte, NC 28226-1344
Phone (704) 503-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230530002866 NC Practitioner - Nurse Practitioner 5092172403 Reassigns benefits to 3 organizations
I20251018000109 SC Practitioner - Nurse Practitioner 5092172403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5017368NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Physicians Services Group, P.C. CurrentSince Sep 22, 2025 Accepting new patients
Telos Health Systems NC PLLC CurrentSince Jun 10, 2025 Accepting new patients
Amara Pain & Spine PLLC CurrentSince Apr 16, 2023 Accepting new patients
Careconnectmd South Carolina P.C. CurrentSince Oct 1, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

6429 Bannington Rd
Ste B
Charlotte, NC 28226
Phone (704) 503-9338

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

8595 Pelham Rd
Ste 400
Greenville, SC 29615
Phone (864) 316-8984

2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8476/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1194431239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 BANNINGTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261344",
            "telephone_number": "704-503-9338",
            "fax_number": "704-503-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 BANNINGTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261344",
            "telephone_number": "704-503-9338",
            "fax_number": "704-503-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHSTONE",
        "first_name": "CAROLYN",
        "middle_name": "JOHNSTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5017368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.