Active NPI
John G Holevas, MD
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1356393136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31530
- Practice address
- 1918 Randolph Rd Ste 350
Charlotte, NC 28207-1111 - Phone
- (704) 384-1750
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31530 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd Ste 350
Charlotte, NC 28207-1111
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-2127
Other practice location 1
3330 Siskey Pkwy
Matthews, NC 28105-3222
Phone (704) 316-2127
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8943099 | Medicaid | NC | |
| N31530 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jholevas15673@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jholevas15673@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1356393136",
"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": "704-316-2127",
"fax_number": "704-316-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071111",
"telephone_number": "704-384-1750"
}
],
"practiceLocations": [
{
"address_1": "3330 Siskey Pkwy",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281053222",
"country_code": "US",
"telephone_number": "704-316-2127",
"fax_number": "704-316-2136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLEVAS",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2020-10-28",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "31530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8943099",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N31530",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jholevas15673@direct.novanthealth.org",
"affiliation": "N",
"address_1": "3330 Siskey Pkwy",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281053222",
"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 Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.