Individual provider Active NPI

Ray Feaster, MD

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1366416877
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007-01519 Issued in NC
Practice address
1942 E 7TH St Ste 200
Charlotte, NC 28204-2418
Phone
(704) 384-7085
Fax
(704) 384-7089
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007-01519 NC Primary
Hospitalist Physician 208M00000X 2007-01519 NC
Internal Medicine Physician 207R00000X 26098 SC
Internal Medicine Physician 207R00000X 0101260000 NC

Addresses

Primary practice location

1942 E 7TH St Ste 200
Charlotte, NC 28204-2418

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-3050

Other practice location 1

8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072
Phone (980) 302-3050

Other practice location 2

11300 Cresthill Dr Ste 100
Mint Hill, NC 28227-7992
Phone (980) 302-3550

Other identifiers 2

IdentifierTypeStateIssuer
260988MedicaidSC
2007-01519OtherNCSTATE MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rfeaster5514@direct.novanthealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000432 NC Practitioner - Internal MedicinePractitioner - Hospitalist 1254301591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of South Carolina School of Medicine, 2002
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)

1942 E 7TH St
Suite 200
Charlotte, NC 28204-2418
Phone (704) 338-4708

8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone (704) 316-2338

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101260000NCMDInternal Medicine Physician
2007-01519NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Jul 22, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 18, 2008 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Medical Group Inc CurrentSince Sep 18, 2008 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

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

416 E 36th St
Ste 200
Charlotte, NC 28205
Phone (980) 302-9800

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

1942 E 7th St
Ste 200
Charlotte, NC 28204
Phone (704) 338-4708

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

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

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

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

11300 Cresthill Dr
Ste 100
Mint Hill, NC 28227
Phone (980) 302-3550

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: rfeaster5514@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 and National Provider Directory roles.

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1366416877",
    "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": "980-302-3050",
            "fax_number": "980-302-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E 7TH ST STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042418",
            "telephone_number": "704-384-7085",
            "fax_number": "704-384-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Healthcare Loop Ste 305",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282157072",
            "country_code": "US",
            "telephone_number": "980-302-3050",
            "fax_number": "980-302-3055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 Cresthill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282277992",
            "country_code": "US",
            "telephone_number": "980-302-3550",
            "fax_number": "980-302-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEASTER",
        "first_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01519",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2007-01519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "26098",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "0101260000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260988",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "2007-01519",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfeaster5514@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8201 Healthcare Loop Ste 305",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282157072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.