NPIMap

Individual provider Active NPI

Holly Harvey Heddleson, FNP-C

  • Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1326515768
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011146 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 280
Matthews, NC 28105
Phone
(704) 316-5166
Fax
(704) 316-5167
NPI assigned
Oct 24, 2018
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011146 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 280
Matthews, NC 28105

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5166

Other practice location 1

2308 Kannapolis Hwy
Concord, NC 28027-4267
Phone (980) 781-4794

Other practice location 2

2308 Kannapolis Hwy
Concord, NC 28027-4267
Phone (980) 781-4794

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hheddleson688397@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
I20190128000914 NC Practitioner - Nurse Practitioner 5890032940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

1450 Matthews Township Pkwy
Suite 280
Matthews, NC 28105-5331
Phone (704) 316-5166

Advanced Wound Care and Hyperbaric
300 Billingsley Road Suite 105
Charlotte, NC 28211-1075
Phone (704) 384-4098

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jan 8, 2019 Accepting new patients
The Presbyterian Hospital CurrentSince Nov 10, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 8, 2019 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
The Presbyterian Hospital CurrentSince Nov 10, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

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

125 Baldwin Ave
Ste 100
Charlotte, NC 28204
Phone (704) 316-1900

300 Billingsley Rd
Ste 105
Charlotte, NC 28211
Phone (704) 375-2222

2308 Kannapolis Hwy
Concord, NC 28027
Phone (704) 795-0044

4205 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-6900

1450 Matthews Township Pkwy
Ste 280
Matthews, NC 28105
Phone (704) 316-5166

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

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: hheddleson688397@direct.novanthealth.org

Organizations & group practices 10

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 8

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1326515768",
    "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": "704-316-5166",
            "fax_number": "704-316-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 280",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-316-5166",
            "fax_number": "704-316-5167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2308 Kannapolis Hwy",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280274267",
            "country_code": "US",
            "telephone_number": "980-781-4794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2308 Kannapolis Hwy",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280274267",
            "country_code": "US",
            "telephone_number": "980-781-4794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDDLESON",
        "first_name": "HOLLY",
        "middle_name": "HARVEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hheddleson688397@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2308 Kannapolis Hwy",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280274267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.