Active NPI
Janelle Louise Tate, NP
- Nurse Practitioner
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5023274
- Practice address
- 9930 Kincey Ave Ste 360
Huntersville, NC 28078-6541 - Phone
- (704) 316-4830
- NPI assigned
- Dec 10, 2010
- Last updated
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5023274 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024140083 | VA |
Addresses
Primary practice location
9930 Kincey Ave Ste 360
Huntersville, NC 28078-6541
Mailing address
1413 Rand CT
Virginia Beach, VA 23464-6461
Phone (757) 282-3816
Other practice location 1
515 Newtown Rd
Virginia Beach, VA 23462-5620
Phone (757) 499-7526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540896390 | Other | VA | TRICARE |
| 1285937466 | Medicaid | VA |
Other names 1
- Janelle L Coughlin
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
1918 Randolph Rd
Suite 670
Charlotte, NC 28207-1119
Phone (704) 384-1620
1955 S US 29 Hwy
China Grove, NC 28023-5684
Phone (704) 855-7611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5023274 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Novant Health Medical Group LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Culpeper Medical Associates, LLC | Past | Accepting new patients | |
| Coastal Fertility Center | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925
1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535
5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021
1955 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611
14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078
9930 Kincey Ave
Ste 360
Huntersville, NC 28078
911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- jtate1759900@direct.novanthealth.org
Organizations & group practices 8
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.
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Rankin OB/GYN
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1477593960
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Carolina Womens Health Associates
- Obstetrics & Gynecology Physician
- China Grove, NC
- NPI 1780968982
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
-
- Reproductive Endocrinology Physician
- Mount Pleasant, SC
- NPI 1356600878
-
- Multi-Specialty Clinic/Center
- Culpeper, VA
- NPI 1003853920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1285937466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 RAND CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646461",
"telephone_number": "757-282-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 360",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "704-316-4830"
}
],
"practiceLocations": [
{
"address_1": "515 Newtown Rd",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234625620",
"country_code": "US",
"telephone_number": "757-499-7526",
"fax_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATE",
"first_name": "JANELLE",
"middle_name": "LOUISE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-10",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5023274",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024140083",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "540896390",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285937466",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANELLE",
"last_name": "COUGHLIN",
"middle_name": "L",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.