Active NPI
Anthony Oliver, FNP-C
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5015822
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 243474 | OH | MD | General Practice Registered Nurse |
| 5015822 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services of North Carolina PC | Family | Current | Accepting new patients |
| Longevity Clinical LTC Associates of North Carolina PLLC | Current | 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.
-
- Primary Care Nurse Practitioner
- Salisbury, NC
- NPI 1154907855
-
- Nephrology Physician
- Winston Salem, NC
- NPI 1366162885
Family
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1366181943
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.