Individual provider Active NPI

Marissa Novack, MD

  • Surgery Physician
  • Mooresville, NC
National Provider Identifier
1235525650
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2025-00277 Issued in NC
Practice address
146 Medical Park Rd Ste 202
Mooresville, NC 28117-8529
Phone
(704) 660-4584
Fax
(704) 660-4028
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2025-00277 NC Primary

Addresses

Primary practice location

146 Medical Park Rd Ste 202
Mooresville, NC 28117-8529

Mailing address

146 Medical Park Rd Ste 202
Mooresville, NC 28117-8529
Phone (704) 660-4584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210708000913 NY Practitioner - General Surgery 1254733694 Reassigns benefits to 9 organizations
I20250404003309 NC Practitioner - General Surgery 1254733694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

146 Medical Park Rd
Suite 202
Mooresville, NC 28117-8529
Phone (704) 660-4584

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
Mercy Medical Center CurrentSince Sep 26, 2022 Accepting new patients
Mercy Medical Center CurrentSince Sep 26, 2022 Accepting new patients
CHS Physician Partners, P.C CurrentSince Sep 1, 2022 Accepting new patients
Claxton Medical PC CurrentSince Sep 1, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
St Charles Hospital Corp CurrentSince Sep 1, 2022 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
University at Buffalo Surgeons Inc Surgery CurrentSince Sep 1, 2021 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Claxton Medical PC CurrentSince Sep 1, 2024 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Sep 1, 2022 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Sep 19, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jul 1, 2021 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Kaleida Health CurrentSince Jul 1, 2021 Accepting new patients
Bethpage Medical, PLLC Past Accepting new patients
Nrad Medical Associates, PC Surgery Past Accepting new patients
New York Bariatric Surgery Group PLLC PastSince Sep 19, 2022 Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

131 Medical Park Rd
Ste 302
Mooresville, NC 28117
Phone (704) 660-4750

146 Medical Park Rd
Ste 202
Mooresville, NC 28117
Phone (704) 660-4584

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

100 High St
Ste D3
Buffalo, NY 14203

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

1345 Motor Pkwy
Islandia, NY 11749
Phone (631) 630-6297

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

305 Main St
Ogdensburg, NY 13669
Phone (315) 393-2611

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • Direct secure messaging: mnovack144272@direct-chsli.net
  • Direct secure messaging: mnovack623465@direct.medicine.duke.edu

Organizations & group practices 21

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.

View all 21

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1235525650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MEDICAL PARK RD STE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178529",
            "telephone_number": "704-660-4584",
            "fax_number": "704-660-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MEDICAL PARK RD STE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178529",
            "telephone_number": "704-660-4584",
            "fax_number": "704-660-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVACK",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2025-00277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.