NPIMap

Individual provider Active NPI

Noura Zahra Nelson, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1366058695
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13808 Issued in NC
Practice address
7825 Ballantyne Commons Pkwy Ste 150
Charlotte, NC 28277-3175
Phone
(701) 316-3070
Fax
(704) 316-3071
NPI assigned
Sep 22, 2020
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007446 VA
Physician Assistant 363A00000X 0010-13808 NC Primary

Addresses

Primary practice location

7825 Ballantyne Commons Pkwy Ste 150
Charlotte, NC 28277-3175

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

11800 Sunrise Valley Dr
Reston, VA 20191-5300
Phone (703) 709-1114

Other names 1

  • Noura Zahra Nelson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210914000590 DC Practitioner - Physician Assistant 8022414283 Reassigns benefits to 1 organization
I20240304004039 NC Practitioner - Physician Assistant 8022414283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Matrix Rehabilitation South Carolina, Inc.Group PAC ID 5799694568, shared by 2 NPIs, 21 clinicians

Practice addresses (Care Compare)

10305 Hamptons Park Dr
Suite 101
Huntersville, NC 28078-7217
Phone (704) 384-1130

1901 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 316-2000

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 343-9800

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

739 Galleria Blvd
Rock Hill, SC 29730-5785

7825 Ballantyne Commons Pkwy
Suite 150
Charlotte, NC 28277-3175
Phone (704) 316-3070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-13808NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jan 26, 2024 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 26, 2024 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

2801 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 367-4800

7825 Ballantyne Commons Pkwy
Ste 150
Charlotte, NC 28277
Phone (704) 316-3070

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: nnelson1239855@direct.novanthealth.org

Organizations & group practices 6

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1366058695",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 BALLANTYNE COMMONS PKWY STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773175",
            "telephone_number": "701-316-3070",
            "fax_number": "704-316-3071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11800 Sunrise Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201915300",
            "country_code": "US",
            "telephone_number": "703-709-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NOURA",
        "middle_name": "ZAHRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007446",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOURA",
            "last_name": "NELSON",
            "middle_name": "ZAHRA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.