Individual provider Active NPI

Janelle Louise Tate, NP

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1285937466
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023274 Issued in NC
Practice address
9930 Kincey Ave Ste 360
Huntersville, NC 28078-6541
Phone
(704) 316-4830
NPI assigned
Dec 10, 2010
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
540896390OtherVATRICARE
1285937466MedicaidVA

Other names 1

  • Janelle L Coughlin Former name

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
I20251120002831 NC Practitioner - Nurse Practitioner 7618158163 Reassigns benefits to 2 organizations

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, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

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

LicenseStateTypeSpecialty
5023274NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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 Oct 24, 2025 Accepting new patients
Novant Health Medical Group LLC CurrentSince Oct 24, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 24, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.