NPIMap

Individual provider Active NPI

Juwairiyah Khafid Foxx, FNP

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1316244106
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006306 Issued in NC
Practice address
16525 Holly Crest LN Ste 150
Huntersville, NC 28078-4911
Phone
(704) 384-8720
Fax
(704) 384-8747
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006306 NC
Family Nurse Practitioner 363LF0000X 0024169221 VA
Family Nurse Practitioner 363LF0000X 265459 NC
Nurse Practitioner 363L00000X 5006306 NC Primary

Addresses

Primary practice location

16525 Holly Crest LN Ste 150
Huntersville, NC 28078-4911

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1725

Other practice location 1

1090 NorthEast Gateway Court, NE
Suite 202
Concord, NC 28025-2423
Phone (704) 403-9050

Other identifiers 1

IdentifierTypeStateIssuer
1316244106MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfoxx531169@direct.novanthealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131016000643 NC Practitioner - Nurse Practitioner 2567635840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
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)

16525 Holly Crest LN
Suite 150
Huntersville, NC 28078-4911
Phone (704) 384-1725

335 N Caswell Rd
Charlotte, NC 28204-2470
Phone (704) 384-9475

5325 Vinning NWST
Suite 101
Concord, NC 28027-2956
Phone (704) 316-1040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5006306NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 23, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 8, 2018 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Sep 9, 2013 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

236 Market St
Ste 110
Locust, NC 28097
Phone (704) 384-9590

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1316244106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1725",
            "fax_number": "704-384-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 HOLLY CREST LN STE 150",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784911",
            "telephone_number": "704-384-8720",
            "fax_number": "704-384-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 NorthEast Gateway Court, NE",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252423",
            "country_code": "US",
            "telephone_number": "704-403-9050",
            "fax_number": "704-403-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOXX",
        "first_name": "JUWAIRIYAH",
        "middle_name": "KHAFID",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006306",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169221",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "265459",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316244106",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfoxx531169@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1090 NorthEast Gateway Court, NE",
            "address_2": "Suite 202",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.