Individual provider Active NPI

Stephanie Rozier Richter, M.D.

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1265456495
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9601459 Issued in NC
Practice address
6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Phone
(704) 316-2354
Fax
(704) 316-2357
NPI assigned
Jul 27, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9601459 NC Primary

Addresses

Primary practice location

6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

4105 Matthews Mint Hill Rd
Matthews, NC 28105-3633
Phone (704) 384-9966

Other practice location 2

6235 Blakeney Park Dr
Suite 100
Charlotte, NC 28277-5658
Phone (704) 512-5060

Other practice location 3

6235 Blakeney Park Dr
Suite 100
Charlotte, NC 28277
Phone (704) 512-5060

Other practice location 4

6235 Blakeney Park Dr
Suite 100
Charlotte, NC 28277
Phone (704) 512-5060

Other practice location 5

6010 Carnegie Blvd
Charlotte, NC 28209-4637
Phone (704) 384-9966

Other identifiers 4

IdentifierTypeStateIssuer
1265456495MedicaidNC
10056OtherNCBCBS NC
N01459OtherSCSC MEDICAID
891005GMedicaidNC

Other names 1

  • Stephanie Lynn Rozier Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srichter529273@direct.novanthealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330000820 NC Practitioner - Pediatric Medicine 9436141777 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Mar 27, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 27, 2018 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Pediatrics CurrentSince Dec 12, 2024 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients
Charlotte Pediatric Clinic Pediatrics PastSince Nov 24, 2019 Accepting new patients

Locations

1718 E 4th St
Ste 707
Charlotte, NC 28204
Phone (704) 316-4485

2630 E 7th St
Ste 101
Charlotte, NC 28204
Phone (704) 344-1000

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

6010 Carnegie Blvd
Charlotte, NC 28209
Phone (704) 384-9966

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

4105 Matthews Mint Hill Rd
Matthews, NC 28105
Phone (704) 316-3095

1994 Wellness Blvd
Ste 110
Monroe, NC 28110
Phone (704) 384-8460

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3614 S Providence Rd
Ste 100
Waxhaw, NC 28173
Phone (704) 289-4361

3614 S Providence Rd
Ste 101
Waxhaw, NC 28173
Phone (704) 341-9600

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1265456495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 CARMEL RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268286",
            "telephone_number": "704-316-2354",
            "fax_number": "704-316-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Matthews Mint Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281053633",
            "country_code": "US",
            "telephone_number": "704-384-9966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6235 Blakeney Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282775658",
            "country_code": "US",
            "telephone_number": "704-512-5060",
            "fax_number": "704-512-5079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6235 Blakeney Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28277",
            "country_code": "US",
            "telephone_number": "704-512-5060",
            "fax_number": "704-512-5079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6235 Blakeney Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28277",
            "country_code": "US",
            "telephone_number": "704-512-5060",
            "fax_number": "704-512-5079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 Carnegie Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282094637",
            "country_code": "US",
            "telephone_number": "704-384-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "STEPHANIE",
        "middle_name": "ROZIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9601459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265456495",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "10056",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N01459",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891005G",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srichter529273@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6235 Blakeney Park Dr",
            "address_2": "Suite 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ROZIER",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.