NPIMap

Individual provider Active NPI

Natalie Lynn Nowak, D.O.

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1275893927
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2017-01753 Issued in NC
Practice address
1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112
Phone
(704) 333-0741
Fax
(704) 333-3356
NPI assigned
May 29, 2012
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2017-01753 NC Primary
Surgery Physician 208600000X 100543 GA
Surgery Physician 208600000X OT014673 PA

Addresses

Primary practice location

1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Other practice location 1

242 King Ave, Ste 130
Athens, GA 30606
Phone (706) 475-7110

Other practice location 2

1450 Matthews Township Pkwy Ste 250
Matthews, NC 28105-5331
Phone (704) 841-1444

Other identifiers 1

IdentifierTypeStateIssuer
1275893927MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170901000960 NC Practitioner - General Surgery 2961785654 Reassigns benefits to 6 organizations
1 other NPI on this enrollment
I20241109000140 GA Practitioner - General Surgery 2961785654 Reassigns benefits to 1 organization
1 other NPI on this enrollment
I20260217000358 SC Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 2961785654 Reassigns benefits to 1 organization
1 other NPI on this enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
Novant Health Prep II LLCGroup PAC ID 1052835311, shared by 2 NPIs, 47 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

1721 Ebenezer Rd
Suite 175
Rock Hill, SC 29732-1188
Phone (803) 324-5256

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

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

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Prep II LLC Surgery CurrentSince Jan 6, 2026 Accepting new patients
Surgical Specialists of Charlotte, P.a. Surgery CurrentSince Oct 1, 2017 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 20, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Oct 1, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Surgery CurrentSince Feb 20, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Feb 20, 2023 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Dec 1, 2020 Accepting new patients
Carolinas Physicians Network Inc Surgery CurrentSince Feb 20, 2023 Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Feb 20, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Feb 20, 2023 Accepting new patients
Piedmont Athens Specialty Care LLC Surgery PastSince Aug 1, 2018 Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

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

1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120

10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

327 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-7800

200 W Grover St
Shelby, NC 28150
Phone (704) 487-8591

1721 Ebenezer Rd
Ste 175
Rock Hill, SC 29732
Phone (803) 324-5256

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nnowak160293@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: nnowak506056@direct.novanthealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1275893927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071112",
            "telephone_number": "704-333-0741",
            "fax_number": "704-333-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 King Ave, Ste 130",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "30606",
            "country_code": "US",
            "telephone_number": "706-475-7110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Matthews Township Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055331",
            "country_code": "US",
            "telephone_number": "704-841-1444",
            "fax_number": "704-849-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "NATALIE",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2017-01753",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "100543",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OT014673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275893927",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.