Individual provider Active NPI

Anthony Oliver, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1285219733
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015822 Issued in NC
Practice address
6824 Harrisburg Rd
Charlotte, NC 28227-3389
Phone
(704) 870-6014
NPI assigned
Mar 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 243474 OH
Family Nurse Practitioner 363LF0000X 5015822 NC Primary

Addresses

Primary practice location

6824 Harrisburg Rd
Charlotte, NC 28227-3389

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

5900 Parkwood Pl Fl 5
Dublin, OH 43016-1216
Phone (866) 458-9935

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony.oliver@uhc.com

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
I20230522002296 NC Practitioner - Nurse Practitioner 4880050509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126-3168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
243474OHMDGeneral Practice Registered Nurse
5015822NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of North Carolina PC Family CurrentSince May 1, 2023 Accepting new patients
Longevity Clinical LTC Associates of North Carolina PLLC CurrentSince Apr 2, 2024 Accepting new patients

Locations

401 Lambert Rd
Biscoe, NC 27209
Phone (910) 428-2117

311 W Phifer St
Marshville, NC 28103
Phone (336) 624-6643

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

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.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1285219733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 HARRISBURG RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273389",
            "telephone_number": "704-870-6014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Parkwood Pl Fl 5",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430161216",
            "country_code": "US",
            "telephone_number": "866-458-9935",
            "fax_number": "855-686-2798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ANTHONY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "243474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony.oliver@uhc.com",
            "affiliation": "N",
            "address_1": "5900 Parkwood Pl Fl 5",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430161216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.