Active NPI
Marissa Novack, MD
- Surgery Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2025-00277
- 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
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 |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Claxton Medical PC | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| University at Buffalo Surgeons Inc | Surgery | Current | Accepting new patients |
| Claxton-Hepburn Medical Center | Current | Accepting new patients | |
| Claxton Medical PC | Current | Accepting new patients | |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Long Island Minimally Invasive Surgery, P.C. | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Kaleida Health | Current | 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 | Past | 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
- mnovack144272@direct-chsli.net
- 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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Pediatrics Physician
- Ogdensburg, NY
- NPI 1114164944
-
- Psychiatric Hospital
- Ogdensburg, NY
- NPI 1891753034
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- Specialist
- Roslyn Heights, NY
- NPI 1356545867
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1497765630
-
- Surgery Physician
- Buffalo, NY
- NPI 1508898305
-
- Family Medicine Physician
- Mooresville, NC
- NPI 1760288633
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
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
- Northlake Children'S Associates, P.a.
- Northland Hearing Centers, Inc.
- Northland Hearing Centers, Inc.
- Northshore Orthopedic & Sports Medicine Center PA
- Noteworthy Transport Solutions
- Novant Health Enterprises Imaging, LLC
- Novant Health Lake Norman Medical Center, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.