Individual provider Active NPI

Amber Jade Justice, FNP

  • Family Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1225480361
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008721 Issued in NC
Practice address
110 W Grover St
Shelby, NC 28150-3825
Phone
(980) 487-2800
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008721 NC
Family Nurse Practitioner 363LF0000X 5008721 NC Primary

Addresses

Primary practice location

110 W Grover St
Shelby, NC 28150-3825

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

335A W College Ave
Shelby, NC 28152-8111
Phone (980) 487-2870

Other practice location 2

4815 Johnston Oehler Rd
Ste 200
Charlotte, NC 28269-1065
Phone (704) 801-7410

Other practice location 3

446 Nc 108 Hwy
Rutherfordton, NC 28139-7871
Phone (828) 287-7383

Other practice location 4

821 E King St
Kings Mountain, NC 28086-3186
Phone (980) 487-2800

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ajustice403223@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830000608 NC Practitioner - Nurse Practitioner 8123313178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

110 W Grover St
Shelby, NC 28150-3825
Phone (980) 487-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5008721NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Aug 21, 2016 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 21, 2016 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

821 E King St
Kings Mtn, NC 28086
Phone (704) 734-0304

446 NC 108 Hwy
Rutherfordton, NC 28139
Phone (828) 287-7383

110 W Grover St
Shelby, NC 28150
Phone (704) 487-5258

Interoperability endpoints

  • Direct secure messaging: ajustice403223@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1225480361",
    "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": "110 W GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503825",
            "telephone_number": "980-487-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335A W College Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281528111",
            "country_code": "US",
            "telephone_number": "980-487-2870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 Johnston Oehler Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282691065",
            "country_code": "US",
            "telephone_number": "704-801-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 Nc 108 Hwy",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281397871",
            "country_code": "US",
            "telephone_number": "828-287-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 E King St",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280863186",
            "country_code": "US",
            "telephone_number": "980-487-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "AMBER",
        "middle_name": "JADE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-07-15",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008721",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajustice403223@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "110 W Grover St",
            "city": "Shelby",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281503825",
            "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 Shelby, NC

Sources for this page

Verify at the official NPI Registry.